Active NPI
Kawana Denice Coleman, MS
- Specialist
- Brooklyn, NY
National Provider Identifier
1760971790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 693134961
- Practice address
- 293 E 53Rd St
Brooklyn, NY 11203-3605 - Phone
- (347) 702-7294
- NPI assigned
- May 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 693134961 | NY | Primary |
Addresses
Primary practice location
293 E 53Rd St
Brooklyn, NY 11203-3605
Mailing address
889 Saint Marks Ave
Brooklyn, NY 11213-1543
Phone (347) 262-9929
Other practice location 1
889 Saint Marks Ave
Brooklyn, NY 11213-1543
Phone (347) 262-9929
Other practice location 2
889 Saint Marks Ave
Brooklyn, NY 11213-1543
Phone (347) 262-9929
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 693134961 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1760971790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "889 SAINT MARKS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112131543",
"telephone_number": "347-262-9929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 E 53RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112033605",
"telephone_number": "347-702-7294"
}
],
"practiceLocations": [
{
"address_1": "889 Saint Marks Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112131543",
"country_code": "US",
"telephone_number": "347-262-9929",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "889 Saint Marks Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112131543",
"country_code": "US",
"telephone_number": "347-262-9929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "KAWANA",
"middle_name": "DENICE",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-04",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "693134961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.