Active NPI
Jennifer Lee Coleman, FNP
- Family Nurse Practitioner
- Lubbock, TX
National Provider Identifier
1548349467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 657841
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 657841 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lubbock Kidney & Blood Pressure Clinic P a | Current | Accepting new patients | |
| The Kidney Care Center, LLC | Current | Accepting new patients | |
| Vascular Bone and Sleep Enterprises, PA | Past | 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
- 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.
-
- Nephrology Physician
- Lubbock, TX
- NPI 1316958663
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hobbs, NM
- NPI 1043610819
-
- Rural Acute Care Hospital
- Lamesa, TX
- NPI 1134108053
-
- Nephrology Physician
- Lubbock, TX
- NPI 1891342739
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.