Cheryl Lynn Coleman, MA, RD, LD
Individual provider Active NPI Registered Dietitian · Hyde Park, UT
NPI 1679170476 · NPPES record last updated Oct 5, 2020
Key facts
- NPI
- 1679170476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 117687574901 (UT)
- Practice address
- 3935 N 75 W
Hyde Park, UT 84318-4111 - Phone
- (435) 359-0720
- Fax
- (833) 992-1993
- NPI assigned
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117687574901 | UT | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 117687574901 | UT | Yes |
Addresses
Primary practice location
3935 N 75 W
Hyde Park, UT 84318-4111
Mailing address
288 Kentwood Dr
Alabaster, AL 35007-5222
Phone (205) 948-3846
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669092169 | Medicaid | UT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://clarinet.athenahealth.com/clientportal/Current/dashboard/account/login | Direct |
Other providers in Hyde Park, UT
- Erin Campbell
- Abbey Carlson
- Morgan Dee Carlson
- Chiro-Active Inc.
- Melanie Christensen
- Complete Fitness Innovations
- Melanie Elder
- Epic Eye Health PLLC
- Eva Alexandria Fallon
- Avary Joy Farnsworth
All providers in Hyde Park, UT · Registered Dietitian in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.