Ayanna Justine Cole

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

627 W Franklin St
Shelton, WA 98584-3504

Phone

(360) 763-5610

NPI assigned

Oct 12, 2024

Last updated

Oct 12, 2024By 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 1

Addresses

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": "1728691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1548080849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NE MAHONIA DR",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985289673",
            "telephone_number": "253-736-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W FRANKLIN ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843504",
            "telephone_number": "360-763-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23291 NE State Route 3 # A-1",
            "address_purpose": "LOCATION",
            "city": "Belfair",
            "state": "WA",
            "postal_code": "985289324",
            "country_code": "US",
            "telephone_number": "360-763-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "AYANNA",
        "middle_name": "JUSTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shera Jean Clark
• John Clayton, D.O.
• Milonna Close, LMHC
• Sefina Marie Coffee
• Annella Mae Coffman, ARNP
• Brandy Kay Coleman
• Helene Coleman, L.M.P
• Kaitlan Elizabeth Collie, BCBA
• Norman E. Collins, D.C.
• Jessica Comstock

• Student in an Organized Health Care Education/Training Program in Shelton, WA
• Providers in Shelton, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.