Individual provider Active NPI

Maureen A. Coleman, BSN, RN,DC

  • Nutrition Chiropractor
  • Kansas City, MO
National Provider Identifier
1932315751
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
201729858 Issued in MO
Practice address
34 E 106TH Ter
Kansas City, MO 64114-5028
Phone
(505) 850-4376
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 201729858 MO Primary
Hearing Instrument Specialist 237700000X 0841 NM
Chiropractor 111N00000X 1338 NM
Continuing Education/Staff Development Registered Nurse 163WC1600X R36997 MN
Pain Management Registered Nurse 163WP0000X 2019000712 MO
Pain Management Registered Nurse 163WP0000X 14-148057-042 KS

Addresses

Primary practice location

34 E 106TH Ter
Kansas City, MO 64114-5028

Mailing address

34 E 106TH Ter
Kansas City, MO 64114-5028
Phone (505) 850-4376

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1338NMMDChiropractor
201729858MOMDNutrition Chiropractor
R36997MNMDContinuing Education/Staff Development Registered Nurse
14-148057-042KSMDPain Management Registered Nurse
2019000712MOMDPain Management Registered Nurse
0841NMMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1932315751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E 106TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145028",
            "telephone_number": "505-850-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E 106TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145028",
            "telephone_number": "505-850-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MAUREEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "BSN, RN,DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "201729858",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NM",
            "license": "0841",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1338",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "MN",
            "license": "R36997",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "MO",
            "license": "2019000712",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "KS",
            "license": "14-148057-042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.