Scott Alan Coleman, RN, MS, AE-C

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

467230-1 Issued in NY

Practice address

2636 Military Tpke
West Chazy, NY 12992-3918

Phone

(518) 563-3382

NPI assigned

Jan 15, 2014

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1881016525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 MILITARY TPKE",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129923918",
            "telephone_number": "518-563-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 MILITARY TPKE",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129923918",
            "telephone_number": "518-563-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "RN, MS, AE-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-15",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "467230-1",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "467230-1",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NY",
            "license": "467230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigid Joan Bushey, M.A., CCC-SLP
• Brielle Carnright
• Ashley B Carpenter, DPT, PT
• Kimberly Kay Chamberlain, REGISTERED NURSE
• Rachael Christiana, M.A. CCC - SLP
• Melinda Joan Conroy, OTR
• Audrey Crucetti
• Michaela Davison, RN
• Renay Lee Desrocher, REGISTERED NURSE
• Sherry Ann Deyo-Pugh, REGISTERED NURSE

• Registered Nurse in West Chazy, NY
• Providers in West Chazy, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.