Individual ProviderDakota Flynn ColemanDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address102 Irving St NW, Washington, DC 20010-2949(202) 877-11011603499017PECOS EnrollmentBased on the most recent information from CMS, provider Dakota Flynn Coleman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1457093916Provider TypeIndividualFull NameColeman, Dakota FlynnCredentialRDGenderMaleSole ProprietorYesEnumeration Date4/13/2022Last Updated4/13/2022Contact InformationPractice LocationPractice Address102 Irving St NW, Washington, DC 20010-2949Phone(202) 877-1101FaxUnlisted FaxMailing LocationMailing Address10520 Georgia Ave, Silver Spring, MD 20902-4154Phone1603499017FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseDI200001255District of ColumbiaCode133V00000XDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseDX5348Maryland