Individual provider Active NPI

Sheena Jo Coleman, NP

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1730714155
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-79715 Issued in KS
Practice address
12200 W 106TH St Ste 110
Overland Park, KS 66215-2305
Phone
(913) 599-1396
Fax
(913) 599-1300
NPI assigned
Mar 5, 2020
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-79715 KS Primary
Nurse Practitioner 363L00000X 2020030794 MO
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

12200 W 106TH St Ste 110
Overland Park, KS 66215-2305

Mailing address

12200 W 106TH St Ste 110
Overland Park, KS 66215-2305
Phone (913) 599-1396

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Shawnee
Direct Messaging Address SHEENA.COLEMAN@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201208000079 KS Practitioner - Nurse Practitioner 2860804317 Reassigns benefits to 1 organization
I20201216000369 MO Practitioner - Nurse Practitioner 2860804317 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-79715KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpoint Womens Services LLC CurrentSince Mar 1, 2021 Accepting new patients
Women's Center at Brookside, LLC Past Accepting new patients

Locations

1004 Progress Dr
Ste 220
Lansing, KS 66043
Phone (913) 599-3800

1620 Charles Pl
Manhattan, KS 66502
Phone (785) 776-1400

1418 S Main St
Ste 5
Ottawa, KS 66067
Phone (785) 242-1620

12200 W 106th St
Ste 110
Overland Park, KS 66215

12200 W 106th St
Ste 125
Overland Park, KS 66215

5701 W 119th St
Ste 305
Shawnee Msn, KS 66209
Phone (816) 350-2024

19550 E 39th St S
Ste 335B
Independence, MO 64057
Phone (816) 350-2024

8600 NE 82nd St
Kansas City, MO 64158
Phone (816) 350-2024

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: sheena.coleman@hca2.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1730714155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "913-599-1396",
            "fax_number": "913-599-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "913-599-1396",
            "fax_number": "913-599-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SHEENA",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2022-01-26",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-79715",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2020030794",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Shawnee",
            "affiliation": "N",
            "address_1": "6018 Marion St",
            "city": "Shawnee",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662189254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHEENA.COLEMAN@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12200 W 106th St Ste 110",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662152305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.