Kristi M Coleman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD152275 Issued in OR

Practice address

12670 NW Barnes Rd Ste 100
Portland, OR 97229-9001

Phone

(503) 648-9565

Fax

(503) 648-1282

NPI assigned

Apr 27, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Care Partners

  • Community Based Hospice Care Agency
  • Portland, OR
  • NPI 1255365904

  Family Medicine

  Medicare reassignment NPD
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Medicare reassignment NPD
• Sky Lakes Medical Center Inc

  • Community/Retail Pharmacy
  • Klamath Falls, OR
  • NPI 1003654625
  NPD

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1659515336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12670 NW BARNES RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299001",
            "telephone_number": "503-648-9565",
            "fax_number": "036-481-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 NW BARNES RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299001",
            "telephone_number": "503-648-9565",
            "fax_number": "503-648-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KRISTI",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD152275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500648649",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacklyn Alberta Coleman
• James Thomas Coleman, RN
• John Michael Coleman, PHARM.D.
• Kathleen Ruth Coleman, MA, LPC, LMFT
• Kiona P Coleman, MD
• Luke Cameron Coleman, LMT
• Robert Isaac Coleman Jr.
• Trisha May Coleman
• Fred Kent Coler, MD
• Vivian Coles, LPC

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.

Verify at the official NPI Registry.