Individual provider Active NPI

Christi Leigh Coleman, NP-C

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1992367932
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06190746 Issued in TX
Practice address
1102 Slide Rd SPC 28
Lubbock, TX 79416-5400
Phone
(806) 793-3616
NPI assigned
Jun 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142043 TX
Family Nurse Practitioner 363LF0000X F06190746 TX Primary

Addresses

Primary practice location

1102 Slide Rd SPC 28
Lubbock, TX 79416-5400

Mailing address

1410 8TH St
Shallowater, TX 79363-5133
Phone (806) 441-7656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200103001461 TX Practitioner - Nurse Practitioner 2769816578 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06190746TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Bone and Sleep Enterprises, PA CurrentSince Oct 1, 2019 Accepting new patients
Southwest Medical Supply Co Inc. Past Accepting new patients

Locations

1126 Slide Rd
Unit 4B
Lubbock, TX 79416
Phone (806) 793-8447

1102 Slide Rd
Ste 1
Lubbock, TX 79416

1126 Slide Rd
Unit 1
Lubbock, TX 79416
Phone (806) 792-2222

1102 Slide Rd
Spc 28
Lubbock, TX 79416
Phone (806) 793-3616

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1992367932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 8TH ST",
            "city": "SHALLOWATER",
            "state": "TX",
            "postal_code": "793635133",
            "telephone_number": "806-441-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SLIDE RD SPC 28",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165400",
            "telephone_number": "806-793-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CHRISTI",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-30",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142043",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F06190746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.