Stephane Lacy Cole

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3860 S Germantown Rd
Memphis, TN 38125-2003

Phone

(901) 690-6733

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1689234015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 S GERMANTOWN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252003",
            "telephone_number": "901-690-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 S GERMANTOWN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252003",
            "telephone_number": "901-690-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "STEPHANE",
        "middle_name": "LACY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "colestephane@live.com",
            "affiliation": "N",
            "address_1": "3860 S Germantown Rd",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381252003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phyadragren Sha Cole
• Robert J Cole, M.D.
• Sharita Cole, LPN
• Sharita Masha Cole, DNP, FNP
• Sherritta Latrice Cole
• Stephanie Darylene Cole, LCSW
• Steve Cole, M.D.
• Tamisha Cole
• Tina Leanne Cole, ATC
• Sheila Lynne Coleman-Denton, D.D.S.

• Case Manager/Care Coordinator in Memphis, TN
• Providers in Memphis, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.