Charlene Ann Coleman, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704196134 Issued in MI

Practice address

4443 Miller Rd
Flint, MI 48507-1123

Phone

(810) 733-1185

Fax

(810) 600-3395

NPI assigned

Jun 14, 2021

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

Other names 1

• Charlene Ann Burleson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1982272282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4443 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071123",
            "telephone_number": "810-733-1185",
            "fax_number": "810-733-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071123",
            "telephone_number": "810-733-1185",
            "fax_number": "810-600-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CHARLENE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704196134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "BURLESON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa Coker, LMSW, LMFT
• Jessica Erin-Louise Col
• Coldwater Place
• Angela Leigh Cole, FNP-C
• Eddie Lou Cole
• Charles Coleman
• Clara Coleman
• Edward Clarance Coleman Jr., CAC-M
• Emily E Coleman, COTA/L
• Katrinia Patrice Coleman

• Registered Nurse in Flint, MI
• Providers in Flint, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.