Active NPI
Dakota Flynn Coleman, RD
- Registered Dietitian
- Washington, DC
National Provider Identifier
1457093916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI200001255
- Practice address
- 102 Irving St NW
Washington, DC 20010-2949 - Phone
- (202) 877-1101
- NPI assigned
- Apr 13, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DX5348 | MD | |
| Registered Dietitian | 133V00000X | DI200001255 | DC | Primary |
Addresses
Primary practice location
102 Irving St NW
Washington, DC 20010-2949
Mailing address
10520 Georgia Ave
Silver Spring, MD 20902-4154
Phone (160) 349-9017
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dakota.coleman@medstar.net | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI200001255 | DC | MD | Registered Dietitian |
| DX5348 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1457093916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10520 GEORGIA AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209024154",
"telephone_number": "160-349-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102949",
"telephone_number": "202-877-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "DAKOTA",
"middle_name": "FLYNN",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-13",
"last_updated": "2022-04-13",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX5348",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "DC",
"license": "DI200001255",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dakota.coleman@medstar.net",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HPI, communications between providers, etc",
"address_1": "102 Irving St NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200102921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.