Active NPI
Katie Lynn Coleman, RDH
- Dental Hygienist
- Naperville, IL
National Provider Identifier
1801491147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 020015515
- Practice address
- 1288 Rickert Dr Ste 200
Naperville, IL 60540-8901 - Phone
- (630) 717-5437
- NPI assigned
- Dec 3, 2020
- Last updated
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020015515 | IL | Primary |
Addresses
Primary practice location
1288 Rickert Dr Ste 200
Naperville, IL 60540-8901
Mailing address
1288 Rickert Dr Ste 200
Naperville, IL 60540-8901
Phone (630) 717-5437
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
| License | State | Type | Specialty |
|---|---|---|---|
| 020015515 | IL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1801491147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1288 RICKERT DR STE 200",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605408901",
"telephone_number": "630-717-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1288 RICKERT DR STE 200",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605408901",
"telephone_number": "630-717-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "KATIE",
"middle_name": "LYNN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "IL",
"license": "020015515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.