MRS. KRISTEN DORLICHIA COLEMAN (NPI# 1518491075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518491075 |
Entity Type | Individual |
Full Name | MRS. KRISTEN DORLICHIA COLEMAN |
Credential | NP-BC |
Practice Address |
6853 Douglas Blvd Ste N415 Douglasville GA 30135-7179 |
Mailing Address |
802 Merlon Ct Sw Marietta GA 30064-1592 |
Practice Telephone | 6788138758 |
Mailing Telephone | 7703313780 |
Enumeration Date | 2017-04-11 |
Last Update Date | 2018-10-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN211932 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144859216 | Kristen Anne Coleman | Dietitian, Registered | 215 N. Fresno Suite 370, Fresno, CA 93701-9370 | 2020-04-02 |
1831317742 | Kristen Marie Coleman | Registered Nurse | 2162 Villagepointe Dr, Batavia, OH 45103-7105 | 2007-04-23 |
1861982761 | Kristen Coleman | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2018-05-16 |
1902274301 | Kristen Courtney Coleman | Pharmacist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2015-09-02 |
1376891549 | Kristen Coleman | Nurse Practitioner | 800 N Westmoreland Rd, Lake Forest, IL 60045-1673 | 2012-08-20 |
1396994760 | Kristen K Coleman | Physician Assistant | 1835 N Franklin St, Denver, CO 80218-1126 | 2008-09-10 |
Street Address |
6853 DOUGLAS BLVD STE N415 |
City | DOUGLASVILLE |
State | GA |
Zip Code | 30135-7179 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
Find all providers in zip 30135 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376050773 | Oasis Primary Care Clinic | Nurse Practitioner | 6194 Stanley Dr, Douglasville, GA 30134-3704 | 2018-01-08 |
1841754611 | Jennifer L Densmore | Nurse Practitioner | 6043 Prestley Mill Rd Ste B, Douglasville, GA 30134-2280 | 2019-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
Find all providers with the same taxonomy |
City | DOUGLASVILLE |
Zip Code | 30135 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.