Mary Elizabeth Coleman, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

605515 Issued in TX

Practice address

36029 58TH Street
Ft. Hood, TX 76544

Phone

(254) 287-7629

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1336815323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36029 58TH STREET",
            "city": "FT. HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36029 58TH STREET",
            "city": "FT. HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "605515",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "605515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Alicia Coffman, MD
• Matthew David Coffman, M.D.
• Rubin Cohen, MD
• Carolyn Ann Cole, LPC,LBSW,LCDC
• Georgia Cole, LVN
• Heather Hartley Collins
• Lynn Cobb Collins
• Robert Francis Collins, PA-C
• Columbia Arora
• Community Dental Services

• Case Management Registered Nurse in Ft. Hood, TX
• Providers in Ft. Hood, TX by specialty
• Case Management Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.