Jerome Eric Coleman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2203000209 Issued in VA

Practice address

255 E South Blvd
Petersburg, VA 23805-2700

Phone

(804) 861-4563

NPI assigned

Oct 7, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Petersburg Public Schools

  • Local Education Agency (LEA)
  • Petersburg, VA
  • NPI 1598779829
  NPD (past)

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1700483245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E SOUTH BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052700",
            "telephone_number": "804-861-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E SOUTH BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052700",
            "telephone_number": "804-861-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JEROME",
        "middle_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2203000209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearpath Community Services LLC
• Clinical Colleagues LLC
• Michael R Cohen, M.D.
• Douglas Cohrs, PA-C
• Valentina R Cole, MAS
• Tamika Michelle Coleman, NURSE PRACTITIONER
• Collaboration Effort Inc.
• Steven Colpo
• Sarah Combs, PTA
• Commonwealth Alliance (HealthSource Chiropractic & Progressive Rehab)

• Speech-Language Pathologist in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.