Active NPI
Teesa Fontenot Coleman, RN
- Registered Nurse
- Opelousas, LA
National Provider Identifier
1366909186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN107242
- Practice address
- 308 W Bloch St
Opelousas, LA 70570-5214 - Phone
- (337) 948-0220
- Fax
- (337) 948-0324
- NPI assigned
- Feb 28, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN107242 | LA | Primary |
Addresses
Primary practice location
308 W Bloch St
Opelousas, LA 70570-5214
Mailing address
603 S Soileau St
Ville Platte, LA 70586-5161
Phone (337) 789-6622
Other practice location 1
1010 W LaSalle St
Ville Platte, LA 70586-3004
Phone (337) 363-1135
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN107242 | LA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1366909186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 S SOILEAU ST",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705865161",
"telephone_number": "337-789-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 W BLOCH ST",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705705214",
"telephone_number": "337-948-0220",
"fax_number": "337-948-0324"
}
],
"practiceLocations": [
{
"address_1": "1010 W LaSalle St",
"address_purpose": "LOCATION",
"city": "Ville Platte",
"state": "LA",
"postal_code": "705863004",
"country_code": "US",
"telephone_number": "337-363-1135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "TEESA",
"middle_name": "FONTENOT",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN107242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Opelousas, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.