Jessica Coleman, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

16880 Issued in TN

Practice address

2690 Madison St Ste 130
Clarksville, TN 37043-6185

Phone

(931) 245-1701

Fax

(931) 245-1720

NPI assigned

Jul 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessica.coleman@pchc.eclinicaldirectplus.com

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.

• Clarksville Sportsmed & Wellness

  • Sports Medicine (Family Medicine) Physician
  • Clarksville, TN
  • NPI 1588941942
  NPD (past)

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1871849638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 MADISON ST STE 130",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436185",
            "telephone_number": "931-245-1701",
            "fax_number": "931-245-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 MADISON ST STE 130",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436185",
            "telephone_number": "931-245-1701",
            "fax_number": "931-245-1720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1453 Hope Way",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371293140",
            "country_code": "US",
            "telephone_number": "615-893-9390",
            "fax_number": "615-893-4162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "158599",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529601",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Lynn Cole, M.A.
• Starlette Charmaine Cole
• Terry M. Cole, D.PH.
• Burton A Coleman, D.D.S.
• Erica Coleman, BACHELORS IN SCIENCE
• Kara Coleman, DO
• Tianna Coleman
• Jamie Coles, RBT
• Sidney Collart
• Cheyenne Collier, RBT

• Family Nurse Practitioner in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.