Active NPI
Dominique Coleman, APRN
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3016088
- Practice address
- 4010 Dupont Cir Ste 308
Louisville, KY 40207-4881 - Phone
- (502) 896-8041
- NPI assigned
- Jun 21, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3016088 | KY | Primary |
Addresses
Primary practice location
4010 Dupont Cir Ste 308
Louisville, KY 40207-4881
Mailing address
5105 Dana Park CT Apt 202
Louisville, KY 40219-3085
Phone (502) 322-5160
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220606001229 | KY | Practitioner - Nurse Practitioner | 7911397880 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016088 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Amin'S Family Practice Associates , PSC | Family | Current | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111
1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
2401 Terra Crossing Blvd
Ste 407
Louisville, KY 40245
Phone (502) 210-4407
7926 Preston Hwy
Ste 103
Louisville, KY 40219
Phone (502) 309-9811
4010 DuPont Cir
Ste 308
Louisville, KY 40207
Phone (502) 894-8170
300 Shelby Station Dr
Louisville, KY 40245
Phone (502) 254-0009
7926 Preston Hwy
Ste 200
Louisville, KY 40219
Phone (502) 964-2440
10100 Dixie Hwy
Louisville, KY 40272
Phone (502) 637-1005
2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Interoperability endpoints
- dominique.coleman@49428401684484.direct.elationemr.com
Organizations & group practices 6
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.
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1750307393
Family, KY
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
KY
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Family Medicine Physician
- Louisville, KY
- NPI 1386910917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1821667262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 DANA PARK CT APT 202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402193085",
"telephone_number": "502-322-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR STE 308",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074881",
"telephone_number": "502-896-8041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "DOMINIQUE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3016088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.