Dazianna M Coleman, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

164749 Issued in OH

Practice address

11704 Robertson Ave
Cleveland, OH 44105-6223

Phone

(216) 256-7157

NPI assigned

Feb 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1396202230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11704 ROBERTSON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441056223",
            "telephone_number": "216-256-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11704 ROBERTSON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441056223",
            "telephone_number": "216-256-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "DAZIANNA",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "164749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "164749",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Coleman, MD
• Cleanita Coleman
• Dameeca Coleman
• Daniel A Coleman, A.A.
• Darrell Coleman, LPC-TRNE
• Dionna Calise Coleman, APRN-FNP-C
• Gy Kiona Cache Coleman
• Jazante Coleman
• Jhiselle Coleman
• June Coleman

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.