Jean Elaine Coleman, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024080418 Issued in VA

Practice address

5530 Bolling Quarter Rd
Powhatan, VA 23139-3843

Phone

(804) 231-1839

NPI assigned

Sep 8, 2015

Last updated

Sep 8, 2015By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1508234535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 BOLLING QUARTER RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231393843",
            "telephone_number": "804-231-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 BOLLING QUARTER RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231393843",
            "telephone_number": "804-231-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JEAN",
        "middle_name": "ELAINE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024080418",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001080418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith L Cain-Oliver, DR.
• Kristen Carter, NP-C
• Tonya Renee Carter, O.D.
• Tyler Adam Cepeda-Laporte, LCSW
• Nicole Ashley Cole
• Commonwealth of Virginia State Board of Health (Powhatan County Health Department)
• Barbara C Connell
• Christopher Lee Corker
• Alicia N. Cress, M.D.
• Felix Cruz

• Adult Health Nurse Practitioner in Powhatan, VA
• Providers in Powhatan, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.