Active NPI
Brittany Coleman
- Nursing Home Administrator
- Surprise, AZ
National Provider Identifier
1730820630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- Practice address
- 15111 N 172ND Dr
Surprise, AZ 85388-7820 - Phone
- (480) 236-8393
- NPI assigned
- Apr 5, 2022
- Last updated
- May 22, 2022
- 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 |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | NU | Primary |
Addresses
Primary practice location
15111 N 172ND Dr
Surprise, AZ 85388-7820
Mailing address
2055 E Broadway Rd Apt 240
Mesa, AZ 85204-1484
Phone (480) 236-8393
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653177600000",
"number": "1730820630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 E BROADWAY RD APT 240",
"city": "MESA",
"state": "AZ",
"postal_code": "852041484",
"telephone_number": "480-236-8393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15111 N 172ND DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853887820",
"telephone_number": "480-236-8393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2022-05-22",
"certification_date": "2022-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
- Cobalt Rehabilitation Hospital IV (PAM Health Rehabilitation Hospital of Surprise)
- Jamie R Cochran, PT, DPT
- Joanna Louise Cohen
- Ruth J. Cohen, M.A., L.M.F.T.
- Christina Rose Coker
- Raeana Collier
- Robert Francis Collins Jr., ACNPC-AG
- Combs Surprise Crossing, LLC (Surprise Crossing Chiropractic)
- Comfy Healthcare & Wellness PLLC
- Community & Child Rehabilitation Service LLC (Community & Child Rehabilitation Services LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.