Carolyn Coleman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005100 Issued in AR

Practice address

1904 Grant Ave Ste G
Jonesboro, AR 72401-6165

Phone

(870) 493-3007

Fax

(870) 330-9076

NPI assigned

Mar 31, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in TN, AR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23003/brand/1/csg/1/fhir/r4
• Direct secure messaging: carolyn.coleman.1@23003.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15827/brand/1/csg/1/fhir/r4

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.

• Premiere Family Practice

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1932708641
  Medicare reassignment NPD Authorized official
• Willis Clinic

  • Primary Care Clinic/Center
  • Osceola, AR
  • NPI 1063619567
  Medicare reassignment NPD
• Methodist Healthcare Community Care Associates

  • Urgent Care Clinic/Center
  • Cordova, TN
  • NPI 1194839241
  Medicare reassignment NPD
• Methodist Healthcare Community Care Associates

  • Urgent Care Clinic/Center
  • Memphis, TN
  • NPI 1326152455
  NPD
• Methodist Healthcare Community Care Associates

  • Corporate Health Clinic/Center
  • Memphis, TN
  • NPI 1699941195
  NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1407388267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 GRANT AVE STE G",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016165",
            "telephone_number": "870-493-3007",
            "fax_number": "870-330-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 GRANT AVE STE G",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016165",
            "telephone_number": "870-493-3007",
            "fax_number": "870-330-9076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032807",
            "country_code": "US",
            "telephone_number": "901-545-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CAROLYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destinee Katrina Cole, ATC
• Renee A Cole
• Sharon E Cole, PTA
• Vickie Cole
• Amanda Michelle Coleman
• Cheri D Coleman
• Erica Lasha Coleman
• Glenda Kay Coleman, OTR
• Pearlisha Fantasia Coleman
• Sharnice Coleman

• Family Nurse Practitioner in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.