Active NPI
Stanley Raye Coleman, CRNP
- Adult Health Nurse Practitioner
- Tuscaloosa, AL
National Provider Identifier
1881927507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1-079064
- Practice address
- 3701 Loop Rd
Tuscaloosa, AL 35404-5015 - Phone
- (205) 554-2000
- NPI assigned
- Sep 14, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1-079064 | AL | Primary |
Addresses
Primary practice location
3701 Loop Rd
Tuscaloosa, AL 35404-5015
Mailing address
3701 Loop Rd
Tuscaloosa, AL 35404-5015
Phone (205) 554-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-079064 | AL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1881927507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 LOOP RD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045015",
"telephone_number": "205-554-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 LOOP RD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045015",
"telephone_number": "205-554-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "STANLEY",
"middle_name": "RAYE",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-079064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.