Individual provider Active NPI

Jennifer Lee Coleman, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1548349467
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
657841 Issued in TX
Practice address
1126 Slide Rd Unit 4B
Lubbock, TX 79416-5402
Phone
(806) 793-8447
Fax
(806) 687-0337
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 657841 TX Primary

Addresses

Primary practice location

1126 Slide Rd Unit 4B
Lubbock, TX 79416-5402

Mailing address

1126 Slide Rd Unit 4B
Lubbock, TX 79416-5402
Phone (806) 793-8447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070529000352 TX Practitioner - Nurse Practitioner 9638276553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
657841TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Kidney & Blood Pressure Clinic P a CurrentSince Nov 22, 2010 Accepting new patients
The Kidney Care Center, LLC CurrentSince Nov 22, 2010 Accepting new patients
Vascular Bone and Sleep Enterprises, PA PastSince Oct 1, 2019 Accepting new patients
Dawson County Hospital District Past Accepting new patients

Locations

3921 N Calle Grande
Hobbs, NM 88240
Phone (575) 738-0400

1126 Slide Rd
Unit 1
Lubbock, TX 79416
Phone (806) 792-2222

1126 Slide Rd
Unit 4B
Lubbock, TX 79416
Phone (806) 793-8447

Interoperability endpoints

  • Direct secure messaging: jcoleman@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548349467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 SLIDE RD UNIT 4B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165402",
            "telephone_number": "806-793-8447",
            "fax_number": "806-687-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 SLIDE RD UNIT 4B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165402",
            "telephone_number": "806-793-8447",
            "fax_number": "806-687-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "657841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.