Shannon Coleman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11001468 Issued in FL

Practice address

2102 Town St
Pensacola, FL 32505-5118

Phone

(850) 432-4745

NPI assigned

Feb 14, 2019

Last updated

Feb 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Careconnectmd Florida P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1912632886
  Medicare reassignment NPD
• Physician Services Group of Florida, LLC

  • Family Medicine Physician
  • Gulf Breeze, FL
  • NPI 1235775396
  Medicare reassignment NPD
• Psgfl MSSP, LLC

  • Multi-Specialty Clinic/Center
  • Gulf Breeze, FL
  • NPI 1689557936
  Medicare reassignment NPD
• Lourdes L Virtusio M D Family Practice Clinic Inc

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1831365972
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1326504374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 HOLLIDAY DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632529",
            "telephone_number": "850-207-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 TOWN ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325055118",
            "telephone_number": "850-432-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lichrissy Cole
• Michelle Cole, DNP, APRN, FNP-C
• Shelbie Cole, DO
• Adam Coleman, FNP-C
• Jacqueline Coleman
• Lauren Marie Colgin, M.S.
• Collective Conscience Counseling, PLLC
• Collective Living Counseling Services, LLC
• Christine Collett, LCSW
• Floyd Donald Colley, O.D.

• Family Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.