Individual provider Active NPI

Ashanti Coleman, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1720535743
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21697 Issued in TN
Practice address
1444 E Shelby Dr
Memphis, TN 38116-7260
Phone
(901) 396-8366
Fax
(901) 346-1413
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21697 TN Primary

Addresses

Primary practice location

1444 E Shelby Dr
Memphis, TN 38116-7260

Mailing address

240
N. Byhalia Road
Collierville, TN 38017
Phone (901) 492-4920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MS, AZ, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250219001506 IL Practitioner - Nurse Practitioner 7517212848 Reassigns benefits to 1 organization
I20250422003416 MS Practitioner - Nurse Practitioner 7517212848 Reassigns benefits to 2 organizations
I20250818001213 AZ Practitioner - Nurse Practitioner 7517212848
I20250822004228 TX Practitioner - Nurse Practitioner 7517212848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12237 SW 10TH LN
Miami, FL 33184-2418

184 Kent Ave
Apt A306
Brooklyn, NY 11249-3118

3830 Kings LN
Dover, PA 17315-3695

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Ms CS PC CurrentSince Sep 1, 2025 Accepting new patients
Centerwell Senior Primary Care Az CS PC CurrentSince Sep 1, 2025 Accepting new patients
Centerwell Senior Primary Care Az CS PC CurrentSince Sep 1, 2025 Accepting new patients
Centerwell Senior Primary Care TX CS PA CurrentSince Sep 1, 2025 Accepting new patients
Fitness Clinic Wellness Family CurrentSince Jan 29, 2025 Accepting new patients
Fast Doc LLC Past Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients

Locations

9515 W Camelback Rd
Ste 136
Phoenix, AZ 85037
Phone (623) 322-8906

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

20303 Crawford Ave
Ste 230
Olympia Flds, IL 60461
Phone (708) 679-1000

2650 Beach Blvd
Ste 40
Biloxi, MS 39531
Phone (228) 273-4611

545 Gulfgate Center Mall
Houston, TX 77087
Phone (281) 846-7209

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1720535743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240",
            "address_2": "N. BYHALIA ROAD",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "901-492-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 E SHELBY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167260",
            "telephone_number": "901-396-8366",
            "fax_number": "901-346-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ASHANTI",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.