Makayla Deshea Colbert

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

146 Belle Chase Way NE
Cleveland, TN 37312-2368

Phone

(423) 650-5307

NPI assigned

Oct 14, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1407322746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BELLE CHASE WAY NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122368",
            "telephone_number": "423-650-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 BELLE CHASE WAY NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122368",
            "telephone_number": "423-650-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "MAKAYLA",
        "middle_name": "DESHEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Coates, MSN,NP-C
• David Scott Cobb, OT
• Sarah Cobb
• Cindy Lynn Cochran, CCSH,RPSGT,RST
• Abigail Coco-Glover
• Kathryn Elizabeth Cole
• Jerry Coleman II, N.P
• Ronald Sherman Coleman, M.D.
• Justin Collins, RDN
• Larry Coy Collins, M.D.

• Student in an Organized Health Care Education/Training Program in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Student in an Organized Health Care Education/Training Program in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; 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.