ANDREA LYN COLEMAN ARNP DNP NPI 1063988012

NPI Information

NPI: 1063988012
Provider Name: ANDREA LYN COLEMAN, ARNP, DNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

PECOS Registration: Yes

Address:
1124 COLUMBIA ST STE 400
SEATTLE, WA
ZIP 98104
Phone: (206) 215-2090
Get Directions

Andrea Lyn Coleman, ARNP, DNP is a family nurse practitioner in Seattle, WA with 6 years of experience. Andrea Lyn Coleman, ARNP, DNP NPI is 1063988012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1124 COLUMBIA ST STE 400
SEATTLE, WA
ZIP 98104-053
Phone: (206) 215-2090
Fax: (206) 215-3099

The NPI 1063988012 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2018 and was last updated on 2/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP60860635	WASHINGTON	Yes
2	163W00000X	Registered Nurse		RN60568518	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2115352	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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