Anita Kym Coleman

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

34722-31 Issued in WI

Practice address

4909 N 66TH St
Milwaukee, WI 53218-4035

Phone

(414) 350-2671

NPI assigned

Aug 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1952659633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 N 66TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184035",
            "telephone_number": "414-350-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 N 66TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184035",
            "telephone_number": "414-350-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ANITA",
        "middle_name": "KYM",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "34722-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantera J Cole
• Angela Colella, PHARMD
• Mario Riccardo Colella, D.O.
• Alexcis Coleman, SAC-IT
• Aleyah Chantel Coleman, LCSW
• Betty Coleman
• Candace Lee Coleman, RN
• Clint Coleman
• Derek L Coleman
• Deron Coleman

• Licensed Practical Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.