Latorshia Coleman
Individual provider Active NPI Family Nurse Practitioner · Moody, AL
NPI 1629967682 · NPPES record last updated Jul 2, 2025
Key facts
- NPI
- 1629967682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-146645 (AL)
- Practice address
- 2211 Moody Pkwy
Moody, AL 35004-3014 - Phone
- (205) 352-2480
- NPI assigned
- Jul 2, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rural Urgent Care LLC
Practice addresses (Care Compare)
1026 S Eufaula Ave
Eufaula, AL 36027-2702
Phone (334) 689-4025
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250804001779 | AL | Practitioner - Nurse Practitioner | 1254849086 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Urgent Care LLC | Current |
Accepting new patients | |
| Rural Urgent Care LLC | Current |
Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552
1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775
2211 Moody Pkwy
Moody, AL 35004
Phone (205) 352-2480
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-146645 | AL | Yes |
Addresses
Primary practice location
2211 Moody Pkwy
Moody, AL 35004-3014
Mailing address
1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Other providers in Moody, AL
- Brandon Wayde Bunch
- Latoya Calloway
- Lilly Crowe Calvert
- Katelyn Campisi
- Lea C Clayton
- Complete Healthcare Center, Inc.
- Thelma R Cook
- David Gabriel Cordaro
- Anne Claire Craig
- Crossroads Chiropractic LLC
All providers in Moody, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.