Active NPI
Tavita Coleman
- Case Manager/Care Coordinator
- Fresno, TX
National Provider Identifier
1457766826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 27765597
- Practice address
- 1926 Vermillion View St
Fresno, TX 77545-2109 - Phone
- (713) 427-9605
- NPI assigned
- Jun 24, 2014
- Last updated
- Jun 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 27765597 | TX | Primary |
Addresses
Primary practice location
1926 Vermillion View St
Fresno, TX 77545-2109
Mailing address
1926 Vermillion View St
Fresno, TX 77545-2109
Phone (713) 427-9605
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 |
|---|---|---|---|
| 27765597 | TX | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1457766826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 VERMILLION VIEW ST",
"city": "FRESNO",
"state": "TX",
"postal_code": "775452109",
"telephone_number": "713-427-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1926 VERMILLION VIEW ST",
"city": "FRESNO",
"state": "TX",
"postal_code": "775452109",
"telephone_number": "713-427-9605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "TAVITA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "27765597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, TX
- Shayla M Christian, LBSW
- City 2 City LLC
- Shante Felicia Clark-Davis, LPC
- CLR Reliable Transportation
- Latasha M Coleman-Fairley
- Compassionate Care Angels LLC (Compassionate Care Angels)
- Compelling Therapy Services, Inc
- Conscious Grace Adult Service, LLC
- Valerie P Corpening, RN
- Coucc Multinative Assistant Living
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.