Persia Coleman

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

821437 Issued in NV

Practice address

2785 E. Desert Inn Rd
Ste 230
Las Vegas, NV 89121

Phone

(702) 931-1561

Fax

(702) 912-0188

NPI assigned

Aug 19, 2013

Last updated

Jun 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, MI2 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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Modern Psych and Wellness PLLCGroup PAC ID 8729529623, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Modern Psych and Wellness PLLC

  • Psychologist
  • Taylor, MI
  • NPI 1104674621
  Medicare reassignment Care Compare group NPD
• Angeles Medical Centers LLC

  • Primary Care Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1609327931

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Affect Therapeutics Inc

  dba Affect Therapeutics

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charlottesville, VA
  • NPI 1104402064

  NV, Registered Nurse

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  NV

  Medicare reassignment NPD
• Metropolitan Rehabilitation Clinics, Inc.

  dba Metro Recovery Center

  • Methadone Clinic
  • Oak Park, MI
  • NPI 1811020035
  Medicare reassignment NPD
• Persia the Psych NP LLC

  dba Persia Coleman

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1669187670

  Psychiatric/Mental Health

  NPD Authorized official
• Changing Minds Psychiatry LLC

  dba Changing Minds LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1821537242
  Medicare reassignment
• Vegas Cares, LLC.

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1437570348
  NPD
• Changing Minds Psychiatry LLC

  dba Changing Minds 82

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1760993117
  NPD (past)
• Affect Therapeutics, Inc.

  • Adult Mental Health Clinic/Center
  • Albuquerque, NM
  • NPI 1942948351
  NPD (past)
• Back on Track Medical Equipment LLC

  • Prosthetic/Orthotic Supplier
  • Taylor, MI
  • NPI 1265113310
  NPD (past)

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1861825341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 E DESERT INN RD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213624",
            "telephone_number": "702-931-1561",
            "fax_number": "702-912-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 E. DESERT INN RD",
            "address_2": "STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89121",
            "telephone_number": "702-931-1561",
            "fax_number": "702-912-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "PERSIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "821437",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704289083",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN99594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Coleman
• Marvin L Coleman
• Matthew David Coleman, MD
• Meghan Coleman
• Nicole Coleman
• Quanterra Deshay Coleman
• R-'Riana Coleman
• Richard Coleman
• Rodneshia Coleman, CADC-I
• Ronald Coleman

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.