Individual provider Active NPI

Tajuana Denine Coleman, REGISTERED NURSE

  • Registered Nurse
  • Centerville Finance, OH
National Provider Identifier
1760697197
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN264891 Issued in OH
Practice address
8710 Cobblecreek Dr
Centerville Finance, OH 45458-3368
Phone
(937) 433-7919
Fax
(937) 278-8161
NPI assigned
May 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN264891 OH Primary

Addresses

Primary practice location

8710 Cobblecreek Dr
Centerville Finance, OH 45458-3368

Mailing address

8710 Cobblecreek Dr
Centerville Finance, OH 45458-3368
Phone (937) 433-7919

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

LicenseStateTypeSpecialty
RN264891OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760697197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 COBBLECREEK DR",
            "city": "CENTERVILLE FINANCE",
            "state": "OH",
            "postal_code": "454583368",
            "telephone_number": "937-433-7919",
            "fax_number": "937-278-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 COBBLECREEK DR",
            "city": "CENTERVILLE FINANCE",
            "state": "OH",
            "postal_code": "454583368",
            "telephone_number": "937-433-7919",
            "fax_number": "937-278-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TAJUANA",
        "middle_name": "DENINE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED  NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN264891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville Finance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.