Active NPI
Jamie M Coleman MD
- Eyewear Supplier
- Walla Walla, WA
National Provider Identifier
1437364163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- JAMIE M COLEMAN MD
- Practice address
- 1610 Penny LN
Walla Walla, WA 99362-4477 - Phone
- (509) 529-3160
- Fax
- (509) 529-3241
- NPI assigned
- May 14, 2007
- Last updated
- Aug 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathie L Mason
- Title
- Office Manager
- Phone
- (509) 529-1284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1610 Penny LN
Walla Walla, WA 99362-4477
Mailing address
PO Box 1663
Walla Walla, WA 99362-0031
Phone (509) 529-1284
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056874 | Medicaid | OR | |
| 1077544 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313712000000",
"number": "1437364163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1663",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993620031",
"telephone_number": "509-529-1284",
"fax_number": "509-522-1798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 PENNY LN",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624477",
"telephone_number": "509-529-3160",
"fax_number": "509-529-3241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMIE M COLEMAN MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2011-08-19",
"status": "A",
"authorized_official_last_name": "MASON",
"authorized_official_first_name": "KATHIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "509-529-1284"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056874",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1077544",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.