Tina Shelton-Coomer, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3012895 Issued in KY

Practice address

1030 Monarch St Ste 100
Lexington, KY 40513-1820

Phone

(216) 468-5000

NPI assigned

Dec 10, 2018

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Family Practice Clinic of Manchester IncGroup PAC ID 0143465617, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4

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.

• Mountain Family Practice Clinic of Manchester Inc

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1689919078
  Medicare reassignment Care Compare group NPD
• Family Practice Clinic of Booneville, Inc.

  • Rural Health Clinic/Center
  • Booneville, KY
  • NPI 1326152109
  Medicare reassignment NPD
• Psychmind Counseling and Psychiatry LLC

  • Psychiatry Physician
  • Richmond, KY
  • NPI 1184337412
  Medicare reassignment NPD
• Grace Community Health Center, Inc.

  dba Grace Health

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1316645344
  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1821569393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 ALLIANCE RD STE 150",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424754",
            "telephone_number": "139-754-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MONARCH ST STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131820",
            "telephone_number": "216-468-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON-COOMER",
        "first_name": "TINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3012895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Sheets, D.D.S
• Stephanie Deane Sheffield, M.D.
• Anwer Sheikh, MD
• Kareema Sheikh
• Nathan R Shelman, MD
• Kayla Nicole Shelton-Miller
• Bryce Shelton, MD
• Charles Clay Shelton, DO
• Charles I Shelton Jr., D.O.
• Hannah Gaye Shelton, APRN

• Psychiatric/Mental Health Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.