Active NPI
Cheryl L Coldwater, MD
- Pediatrics Physician
- Marble Falls, TX
National Provider Identifier
1346255494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G6708
- Practice address
- 608 Gateway Central Ste 200
Marble Falls, TX 78654-6356 - Phone
- (512) 553-1740
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G6708 | TX | Primary |
Addresses
Primary practice location
608 Gateway Central Ste 200
Marble Falls, TX 78654-6356
Mailing address
113 Big Sky
Burnet, TX 78611-3692
Phone (512) 553-1740
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB118726 | Medicaid | TX | |
| TXB142558 | Medicaid | TX | |
| 8K0607 | Medicaid | TX | |
| TXB118727 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630800000000",
"number": "1346255494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 BIG SKY",
"city": "BURNET",
"state": "TX",
"postal_code": "786113692",
"telephone_number": "512-553-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 GATEWAY CENTRAL STE 200",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786546356",
"telephone_number": "512-553-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLDWATER",
"first_name": "CHERYL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2021-09-05",
"certification_date": "2021-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "G6708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TXB118726",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TXB142558",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8K0607",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TXB118727",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marble Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.