Individual provider Active NPI

Johnna Coleman, FNP

  • Family Nurse Practitioner
  • Niagara Falls, NY
National Provider Identifier
1578077590
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341690 Issued in NY
Practice address
3117 Military Rd
Niagara Falls, NY 14304-4813
Phone
(716) 257-1254
Fax
(716) 215-6170
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 341690 NY Primary

Addresses

Primary practice location

3117 Military Rd
Niagara Falls, NY 14304-4813

Mailing address

3117 Military Rd
Niagara Falls, NY 14304-4813
Phone (716) 257-1254

Other identifiers 1

IdentifierTypeStateIssuer
341690OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200918002152 NY Practitioner - Nurse Practitioner 0345668562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Som Medical Practice PLLCGroup PAC ID 2769736297, 7 clinicians
Niagara Falls Urgent CareGroup PAC ID 1951666908, 4 clinicians

Practice addresses (Care Compare)

251 E Ave
Lockport, NY 14094-3825
Phone (716) 257-1248

3117 Military Rd
Niagara Falls, NY 14304-4813
Phone (716) 257-1254

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Urgent Care CurrentSince Nov 6, 2021 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Aug 3, 2020 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Aug 3, 2020 Accepting new patients
John Mulawka DO PC Past Accepting new patients
John Mulawka DO, PC Past Accepting new patients

Locations

2608 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 773-6181

3117 Military Rd
Niagara Falls, NY 14304
Phone (716) 257-1254

3117 Military Rd
#1
Niagara Falls, NY 14304
Phone (716) 257-1254

3117 Military Rd
#2
Niagara Falls, NY 14304
Phone (716) 257-1254

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

901 Wayne St
Olean, NY 14760
Phone (716) 257-1254

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
  • Direct secure messaging: jcoleman@sommedicalpractice.medentdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1578077590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044813",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044813",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JOHNNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "341690",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.