Active NPI
Deborah A Coleman, STNA
- Home Health Registered Nurse
- Euclid, OH
National Provider Identifier
1730408139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 376440330597
- Practice address
- 20651 Goller Ave
Euclid, OH 44119-1842 - Phone
- (216) 692-3676
- NPI assigned
- May 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 376440330597 | OH | Primary |
Addresses
Primary practice location
20651 Goller Ave
Euclid, OH 44119-1842
Mailing address
20651 Goller Ave
Euclid, OH 44119-1842
Phone (216) 692-3676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 376440330597 | OH | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1730408139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20651 GOLLER AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441191842",
"telephone_number": "216-692-3676",
"fax_number": "216-437-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20651 GOLLER AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441191842",
"telephone_number": "216-692-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "DEBORAH",
"middle_name": "A",
"name_prefix": "Miss",
"credential": "STNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "376440330597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.