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Lindsay Nicole Coleman

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

8442 Dixie Hwy, Louisville, KY 40258-1140

PECOS Enrollment

This provider is enrolled in PECOS as LINDSAY COLEMAN.

Based on the most recent information from CMS, provider Lindsay Nicole Coleman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1205575727
Provider Type
Individual
Full Name
Coleman, Lindsay Nicole
Credential
APRN

Gender
Male
Sole Proprietor
No
Enumeration Date
6/2/2022
Last Updated
6/2/2022

Contact Information

Practice Location

8442 Dixie Hwy, Louisville, KY 40258-1140

(502) 638-4280

(502) 638-4281

Mailing Location

8442 Dixie Hwy, Louisville, KY 40258-1140

(502) 638-4280

(502) 638-4281

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3017856 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 3017856	Description Other	Issuer STATE LICENSE Kentucky

Lindsay Nicole Coleman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Clark, Shana Marie

Welch, Mackenzie

Rodgers, Olga Marie

Piotrowski, Samantha Leigh

Ziemer, Emily

Crawford, Julie Nicole

White, Celeste Magen

Brown, Sarah Faye

Cull, Elizabeth Ann

Trudeau, Kirsten Taylor