Organization Active NPI

En Sante Clinic & Medical Spa PLLC

  • Gynecology Physician
  • MC Lean, VA
National Provider Identifier
1750938213
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
EN SANTE CLINIC & MEDICAL SPA PLLC
Practice address
1420 Spring Hill Rd Ste 160
MC Lean, VA 22102-3025
Phone
(703) 888-8589
NPI assigned
Aug 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Dr. Adeline ColemanNPI 1518001767
Title
Physician
Phone
(425) 417-2968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

1420 Spring Hill Rd Ste 160
MC Lean, VA 22102-3025

Mailing address

1200 Claude CT
Great Falls, VA 22066-1822
Phone (425) 417-2968

Other names 1

  • Coleman Gynecology and Minimally Invasive Surgery Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.myportal.md/public/patientForm.xhtml?parm1=vMh%2FbnGXsx5CHpDmp0DGdA%3D%3D&parm2=upPcOjmz Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2233126En Sante Clinic and Medical Spa PLLC1420 Spring Hill Rd Suite 160, McLean, VA 22102Provider-performed microscopyAug 19, 2027

National Provider Directory

National Provider Directory

Locations

1420 Spring Hill Rd
Ste 160
Mc Lean, VA 22102
Phone (703) 888-8589

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1750938213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CLAUDE CT",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661822",
            "telephone_number": "425-417-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SPRING HILL RD STE 160",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023025",
            "telephone_number": "703-888-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN SANTE CLINIC & MEDICAL SPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ADELINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "425-417-2968",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.myportal.md/public/patientForm.xhtml?parm1=vMh%2FbnGXsx5CHpDmp0DGdA%3D%3D&parm2=upPcOjmz",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1420 Spring Hill Rd Ste 160",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221023025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Coleman Gynecology and Minimally Invasive Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.