Active NPI
Nanette Alane Coleman, FNP-BC, CDE
- Primary Care Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 2014024608
- Practice address
- 4352 Manchester Ave
Saint Louis, MO 63110-2138 - Phone
- (314) 531-5444
- Fax
- (314) 531-0063
- NPI assigned
- Jul 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 3016690 | KY | |
| Primary Care Nurse Practitioner | 363LP2300X | 537673062 | KS | |
| Primary Care Nurse Practitioner | 363LP2300X | 277001410 | IL | |
| Primary Care Nurse Practitioner | 363LP2300X | 209012593 | IL | |
| Primary Care Nurse Practitioner | 363LP2300X | 2014024608 | MO | Primary |
| Family Nurse Practitioner | 363LF0000X | 2014024608 | MO | |
| Family Nurse Practitioner | 363LF0000X | 76737 | KS | |
| Family Nurse Practitioner | 363LF0000X | 205099 | OK | |
| Family Nurse Practitioner | 363LF0000X | A165399 | IA | |
| Family Nurse Practitioner | 363LF0000X | 3016690 | KY | |
| Family Nurse Practitioner | 363LF0000X | 277.001410 | IL | |
| Family Nurse Practitioner | 363LF0000X | 11346-33 | WI | |
| Primary Care Nurse Practitioner | 363LP2300X | 205099 | OK | |
| Primary Care Nurse Practitioner | 363LP2300X | 1134633 | WI | |
| Primary Care Nurse Practitioner | 363LP2300X | A165399 | IA |
Addresses
Primary practice location
4352 Manchester Ave
Saint Louis, MO 63110-2138
Mailing address
1812 Alvarado Dr
Fenton, MO 63026-6301
Phone (314) 922-8610
Other practice location 1
1812 Alvarado Dr
Fenton, MO 63026-6301
Phone (314) 922-8610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 Holly Hills Ave
Saint Louis, MO 63111-2410
Phone 31448116151306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.001410 | IL | MD | Family Nurse Practitioner |
| 76737 | KS | MD | Family Nurse Practitioner |
| 11346-33 | WI | MD | Family Nurse Practitioner |
| 209012593 | IL | MD | Primary Care Nurse Practitioner |
| 277001410 | IL | MD | Primary Care Nurse Practitioner |
| 537673062 | KS | MD | Primary Care Nurse Practitioner |
| 3016690 | KY | MD | Primary Care Nurse Practitioner |
| 2014024608 | MO | MD | Primary Care Nurse Practitioner |
| 205099 | OK | MD | Primary Care Nurse Practitioner |
| 1134633 | WI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Health Centers | Current | Accepting new patients |
Locations
4352 Manchester Ave
Saint Louis, MO 63110
Phone (314) 371-0336
401 Holly Hills Ave
Saint Louis, MO 63111
Phone (314) 353-5190
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1023285624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1447667787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 ALVARADO DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630266301",
"telephone_number": "314-922-8610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4352 MANCHESTER AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102138",
"telephone_number": "314-531-5444",
"fax_number": "314-531-0063"
}
],
"practiceLocations": [
{
"address_1": "1812 Alvarado Dr",
"address_purpose": "LOCATION",
"city": "Fenton",
"state": "MO",
"postal_code": "630266301",
"country_code": "US",
"telephone_number": "314-922-8610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "NANETTE",
"middle_name": "ALANE",
"credential": "FNP-BC, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "KY",
"license": "3016690",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "KS",
"license": "537673062",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "277001410",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "209012593",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MO",
"license": "2014024608",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2014024608",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "76737",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "205099",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A165399",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3016690",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277.001410",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "11346-33",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OK",
"license": "205099",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WI",
"license": "1134633",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IA",
"license": "A165399",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.