Individual provider Active NPI

Shatara Coleman

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1801174701
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.001388 Issued in IL
Practice address
344 W Hubbard St
Chicago, IL 60654-4407
Phone
(401) 770-3433
Fax
(401) 652-9787
NPI assigned
Jul 26, 2011
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.001388 IL Primary
Family Nurse Practitioner 363LF0000X 12301 MN
Family Nurse Practitioner 363LF0000X APRN4879-0 HI
Family Nurse Practitioner 363LF0000X 71003842A IN
Family Nurse Practitioner 363LF0000X APRN-245627 MT
Family Nurse Practitioner 363LF0000X 316115 AZ
Family Nurse Practitioner 363LF0000X APRN11030987 FL
Family Nurse Practitioner 363LF0000X 115905 NE
Family Nurse Practitioner 363LF0000X 355495 NY
Family Nurse Practitioner 363LF0000X 81414 NM
Family Nurse Practitioner 363LF0000X 53-82943-022 KS
Family Nurse Practitioner 363LF0000X 2025018939 MO
Family Nurse Practitioner 363LF0000X NPF95029006 CA
Family Nurse Practitioner 363LF0000X NPS00016771 DC
Family Nurse Practitioner 363LF0000X 231314 AK

Addresses

Primary practice location

344 W Hubbard St
Chicago, IL 60654-4407

Mailing address

344 W Hubbard St
Chicago, IL 60654-4407

Other practice location 1

115 N Marion St Ste 9
Oak Park, IL 60301-1503
Phone (708) 719-9954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, KS, CA, DC, MN, OK7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20120201000548 IL Practitioner - Nurse Practitioner 0042477168 Reassigns benefits to 1 organization
I20120213000767 IN Practitioner - Nurse Practitioner 0042477168 Reassigns benefits to 1 organization
I20240911001841 KS Practitioner - Nurse Practitioner 0042477168 Reassigns benefits to 1 organization
I20240912004206 CA Practitioner - Nurse Practitioner 0042477168 Reassigns benefits to 1 organization
I20240913003783 DC Practitioner - Nurse Practitioner 0042477168 Reassigns benefits to 1 organization
I20250306001544 MN Practitioner - Nurse Practitioner 0042477168
I20250512001518 OK Practitioner - Nurse Practitioner 0042477168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians

Practice addresses (Care Compare)

11729 Roe Ave
Leawood, KS 66211-2605
Phone (800) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231314AKMDFamily Nurse Practitioner
316115AZMDFamily Nurse Practitioner
NPF95029006CAMDFamily Nurse Practitioner
NPS00016771DCMDFamily Nurse Practitioner
APRN11030987FLMDFamily Nurse Practitioner
APRN4879-0HIMDFamily Nurse Practitioner
277.001388ILMDFamily Nurse Practitioner
53-82943-022KSMDFamily Nurse Practitioner
2025018939MOMDFamily Nurse Practitioner
APRN-245627MTMDFamily Nurse Practitioner
115905NEMDFamily Nurse Practitioner
81414NMMDFamily Nurse Practitioner
355495NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of DC, PC Family CurrentSince Aug 22, 2024 Accepting new patients
Minuteclinic Diagnostic of Oklahoma LLC Family CurrentSince May 5, 2025 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Jun 17, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Aug 22, 2024 Accepting new patients
Community Care Health Network LLC CurrentSince May 1, 2021 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Aug 22, 2024 Accepting new patients
Enhanced Health PLLC Family CurrentSince Sep 28, 2025 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Jan 11, 2012 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone (619) 461-4411

320 40th St NE
Washington, DC 20019
Phone (202) 236-1840

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

344 W Hubbard St
Chicago, IL 60654
Phone (312) 222-2570

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

115 N Marion St
Ste 9
Oak Park, IL 60301
Phone (708) 719-9954

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

100 Illinois St
Ste 200
St Charles, IL 60174
Phone (630) 513-5576

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

801 Main St
Munster, IN 46321
Phone (219) 924-2491

1466 W Oak St
Zionsville, IN 46077
Phone (317) 873-4807

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (913) 345-8404

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

1520 S Bryant Ave
Edmond, OK 73013
Phone (405) 348-7980

1040 SW 19th St
Moore, OK 73160
Phone (405) 794-3001

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: scoleman235883@dulyhealthandcare.direct-ci.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1801174701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 W HUBBARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 W HUBBARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544407",
            "telephone_number": "401-770-3433",
            "fax_number": "401-652-9787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N Marion St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011503",
            "country_code": "US",
            "telephone_number": "708-719-9954",
            "fax_number": "980-238-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SHATARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.001388",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN4879-0",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003842A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APRN-245627",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "316115",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030987",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115905",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355495",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "81414",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82943-022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025018939",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95029006",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NPS00016771",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "231314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.