MACY TIATTI COLEMAN (NPI# 1801421870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801421870 |
| Entity Type | Individual |
| Full Name | MACY TIATTI COLEMAN |
| Other Name | MACY TIATTI HEPA-CYR |
| Credential | PA |
| Practice Address |
683 Waianae Ave Schofield Barracks HI 96786 |
| Mailing Address |
801 Kakala St Apt 33 Kapolei HI 96707-4549 |
| Practice Telephone | 8084338504 |
| Mailing Telephone | 8083753389 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 171000000X | Military Health Care Provider | 1174419 | TX | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1061 Harmon Ave, Fort Stewart, GA 313145641 | 8083753389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582909 | Macy Coleman | Dietitian, Registered | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2018-06-21 |
| Street Address |
683 WAIANAE AVE |
| City | SCHOFIELD BARRACKS |
| State | HI |
| Zip Code | 96786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063078467 | Jacqueline Tommila | Registered Nurse | Wai'anae & Ayres Ave, Wahiawa, HI 96786 | 2019-05-13 |
| 1578126157 | Shantelle Caliboso Bautista | Registered Nurse | Wheeler Army Field, Wahiawa, HI 96786 | 2019-04-18 |
| 1679136246 | Dorinda A Ventura | Licensed Practical Nurse | 1 Wheeler Aaf Wahiawa, Hi 96786, Wahiawa, HI 96786 | 2019-04-18 |
| 1659853950 | Archnaben Patel | Physician Assistant | 3399 Glennan St, Wahiawa, HI 96786 | 2018-09-04 |
| 1245720564 | Zi Xiang Liu | Physician Assistant | 3399 Glennan Street, Schofield Barracks, HI 96786 | 2018-05-11 |
| 1417445503 | Kristine Wong | Occupational Therapist | 1034 Kilani Ave Ste 109, Wahiawa, HI 96786 | 2018-04-25 |
| 1467964528 | Hope Treatment Services | Counselor | 360 California Avenue, Wahiawa, HI 96786 | 2017-10-30 |
| 1881103919 | Testiny K J Mailo | Assistant Behavior Analyst | 1046 Eho Eho Avenue, #326, Wahiawa, HI 96786 | 2017-09-20 |
| 1982121059 | Salvador Mireles Thorn | Physician Assistant | U.S. Army Health Clinic Sb, Building 683, Schofield Barracks, HI 96786 | 2017-08-29 |
| 1467975219 | Suwimon Thammarossopon | Physician Assistant | 683 Wahiawa, Us Army Health Clinic Schofield Barracks, Wahiawa, HI 96786 | 2017-07-24 |
| Find all providers in zip 96786 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043702327 | Brett Kaplan | Military Health Care Provider | Desmond Doss Health Clinic, Building 683 (3rd Battalion Clinic), Schofield Barracks, HI 96876 | 2018-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408543 | Hung Tran | Military Health Care Provider | 1897 Ranger Loop, Bldg 184, Honolulu, HI 96818-5072 | 2019-10-10 |
| 1710488614 | Corey J Badgett | Military Health Care Provider | 490 Central Ave, Pearl Harbor, HI 96860-4958 | 2018-02-26 |
| 1548439078 | Charles E Bilbo | Military Health Care Provider | 91-1184 Lukahiu Pl, Ewa Beach, HI 96706-4503 | 2008-02-28 |
| 1871785295 | Ronald Walter Sowa | Military Health Care Provider | 1370 Hiahia St, Wailuku, HI 96793-9700 | 2007-08-10 |
| 1578521670 | Lam H. Le | Military Health Care Provider | 98-1024 Palula Way, Aiea, HI 96701-2823 | 2006-05-01 |
| 1326029000 | Sherrie Sue Woods | Military Health Care Provider | 91-1680 Alaiki St, Ewa Beach, HI 96706-2000 | 2005-11-09 |
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1679181291 | Ben Chu | Military Health Care Provider | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-07-20 |
| 1881151348 | Catherine Moulton | Military Health Care Provider | 490 Central Ave, Jbphh, HI 96860-4958 | 2019-02-20 |
| 1548639115 | Pollyanna Palhano | Military Health Care Provider | 480 Central Ave, Naval Health Clinic Hawaii, Pearl Harbor, HI 96860-4908 | 2015-09-24 |
| Find all providers with the same taxonomy | ||||
| City | SCHOFIELD BARRACKS |
| Zip Code | 96786 |
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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.