Mary Jordan Coley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

581920 Issued in TX

Practice address

907 Post Oak St
Austin, TX 78704-1641

Phone

(512) 731-4747

NPI assigned

May 23, 2006

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)

Enrolled

Interoperability endpoints

• Direct secure messaging: mary.coley.1@8363.direct.athenahealth.com

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1659326213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 POST OAK ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 POST OAK ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041641",
            "telephone_number": "512-731-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEY",
        "first_name": "MARY",
        "middle_name": "JORDAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "581920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Coleman
• Miranda Grace Coleman
• Rebecca Lois Coleman, LCSW
• Leonora M Colen, LICENSED MIDWIFE
• Suzanne Coles
• Veronica Leslie Coley
• Collab Pediatric Therapies LLC
• Rika N Collado, PSY. D.
• Christopher Collard, PHARM.D., R.PH.
• Daniella Justine Collaso, FNP-BC

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.