Paula J Coleman, APRN
Individual provider Active NPI Pediatric Nurse Practitioner · Livingston, MT
NPI 1306954136 · NPPES record last updated Mar 3, 2014
Key facts
- NPI
- 1306954136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 31602 (MT)
- Practice address
- 1001 River Dr
Livingston, MT 59047-3716 - Phone
- (406) 222-0800
- Fax
- (406) 222-7606
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101227000871 | MT | Practitioner - Nurse Practitioner | 4587852025 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston Healthcare | Current |
Accepting new patients | |
| Livingston Healthcare | Current |
Accepting new patients |
Locations
104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030
102 View Vista Dr
Livingston, MT 59047
Phone (406) 222-0448
104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030
320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541
Interoperability endpoints
- paula.coleman@livingstonhealthcare.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 31602 | MT | Yes |
Addresses
Primary practice location
1001 River Dr
Livingston, MT 59047-3716
Mailing address
504 S 13TH St
Livingston, MT 59047-3727
Phone (406) 823-6414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000375050 | Other | MT | BLUECROSSBLUESHIELD |
| 4306718 | Medicaid | MT |
Other providers in Livingston, MT
- Sara Ann Chaney
- City of Livingston
- Clark City Counseling
- Emily Colasante
- Doyle Scott Coleman
- Lindsay Alexandria Comte
- Darcy Kyle Cook
- Sheridan Cotrell
- Counterpoint, Inc.
- Meghan Christine Craig
All providers in Livingston, MT · Pediatric Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.