Individual provider Active NPI

Dominique Coleman, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1821667262
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016088 Issued in KY
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

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220606001229 KY Practitioner - Nurse Practitioner 7911397880 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3016088KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince May 23, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince May 23, 2022 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Dec 10, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Theoria Medical CurrentSince Jan 12, 2026 Accepting new patients
Amin'S Family Practice Associates , PSC Family CurrentSince May 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.