Individual provider Active NPI

Jill Coleman

  • Counselor
  • Eagle Grove, IA
National Provider Identifier
1982805883
Registry record updated Jul 9, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Oct 20, 2022.
  • Section 1128a(1) exclusion effective Apr 20, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
321 NW 3Rd St
Eagle Grove, IA 50533-1308
Phone
(515) 448-9008
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

321 NW 3Rd St
Eagle Grove, IA 50533-1308

Mailing address

321 NW 3Rd St
Eagle Grove, IA 50533-1308
Phone (515) 448-9008

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0737841MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982805883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 NW 3RD ST",
            "city": "EAGLE GROVE",
            "state": "IA",
            "postal_code": "505331308",
            "telephone_number": "515-448-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NW 3RD ST",
            "city": "EAGLE GROVE",
            "state": "IA",
            "postal_code": "505331308",
            "telephone_number": "515-448-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0737841",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Grove, IA

Sources for this page

Verify at the official NPI Registry.