Active NPI
Tyshantra C. Coleman, MD
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1407020977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- T3756
- Practice address
- 1415 California St
Houston, TX 77006-2602 - Phone
- (832) 548-5100
- NPI assigned
- Apr 16, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 63182 | GA | |
| Pediatrics Physician | 208000000X | T3756 | TX | Primary |
Addresses
Primary practice location
1415 California St
Houston, TX 77006-2602
Mailing address
25135 Ginger Ranch Dr
Katy, TX 77494-6666
Phone (678) 262-7987
Other names 1
- Tyshantra Celestin Coleman
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63182 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Education Assessment and Leadership, Inc | Past | Accepting new patients | |
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- tcoleman449138@prddirect.texaschildrens.org
- https://fhir4.healow.com/fhir/r4/DJFHBD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Sugar Land, TX
- NPI 1861492654
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1700328309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407020977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25135 GINGER RANCH DR",
"city": "KATY",
"state": "TX",
"postal_code": "774946666",
"telephone_number": "678-262-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 CALIFORNIA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770062602",
"telephone_number": "832-548-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "TYSHANTRA",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "63182",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T3756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TYSHANTRA",
"last_name": "COLEMAN",
"middle_name": "CELESTIN",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.