Noelle Coleman III, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3681 Issued in OK

Practice address

2240 S Delaware CT
Tulsa, OK 74114-1829

Phone

(918) 850-6368

NPI assigned

Aug 16, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1508311820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 S DELAWARE CT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141829",
            "telephone_number": "918-850-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 S DELAWARE CT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141829",
            "telephone_number": "918-850-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "NOELLE",
        "name_suffix": "III",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508311820",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davina Elizabeth Coleman
• Derek Coleman, LPN
• Kendra Coleman, DPT
• Kim Marie Coleman, M.ED CCC-SLP
• Logan Kay Coleman
• Shelby Coleman, M.D.
• Shelly Marie Coleman, CPHT
• Terra Rachelle Coleman, APRN, CNP
• Todd A Coleman, ARNP
• William Coleman

• Speech-Language Pathologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.