Individual provider Active NPI

Tiffaney Coleman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Paris, TX
National Provider Identifier
1770096232
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP135708 Issued in TX
Practice address
3737 Lamar Ave
Paris, TX 75460-9462
Phone
(903) 669-9051
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP135708 TX Primary

Addresses

Primary practice location

3737 Lamar Ave
Paris, TX 75460-9462

Mailing address

3255 E Houston St
Paris, TX 75460-5011
Phone (903) 669-9051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220107001617 TX Practitioner - Nurse Practitioner 0042566044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakes Regional Mental Health Mental Retardation CenterGroup PAC ID 9739175225, 18 clinicians

Practice addresses (Care Compare)

1300 W 16TH St
Mt Pleasant, TX 75455-2046
Phone 97252441591183

400 Airport Rd
Terrell, TX 75160-4302
Phone 97252441591183

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Regional Mental Health Mental Retardation Center CurrentSince Dec 1, 2021 Accepting new patients

Locations

4200 Stuart St
Greenville, TX 75401
Phone (903) 454-0300

1300 W 16th St
Mt Pleasant, TX 75455
Phone (972) 524-4159

395 N Main St
Paris, TX 75460
Phone (903) 737-2475

655 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 438-3270

400 Airport Rd
Terrell, TX 75160
Phone (972) 524-4159

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1770096232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 E HOUSTON ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605011",
            "telephone_number": "903-669-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609462",
            "telephone_number": "903-669-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TIFFANEY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.