Provider Demographics
NPI: | 1023907078 |
---|---|
Name: | COLEMAN, ROBIN LORRAINE (RN, BSN, MPH) |
Entity type: | Individual |
Prefix: | MISS |
First Name: | ROBIN |
Middle Name: | LORRAINE |
Last Name: | COLEMAN |
Suffix: | |
Gender: | F |
Credentials: | RN, BSN, MPH |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 6151 CENTRAL AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | INDIANAPOLIS |
Mailing Address - State: | IN |
Mailing Address - Zip Code: | 46220-1838 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 463-271-1736 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 6151 CENTRAL AVE |
Practice Address - Street 2: | |
Practice Address - City: | INDIANAPOLIS |
Practice Address - State: | IN |
Practice Address - Zip Code: | 46220-1838 |
Practice Address - Country: | US |
Practice Address - Phone: | 463-271-1736 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2025-07-02 |
Last Update Date: | 2025-07-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
IN | 28195939A | 163WA0400X, 163WA2000X, 163WC1500X, 163WG0000X, 163WC1600X, 163WL0100X, 163WP0808X, 163WP1700X, 163WR0400X, 163WC0400X |
171400000X, 174H00000X, 374K00000X, 385H00000X, 373H00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 163WC0400X | Nursing Service Providers | Registered Nurse | Case Management |
No | 163WA0400X | Nursing Service Providers | Registered Nurse | Addiction (Substance Use Disorder) |
No | 163WA2000X | Nursing Service Providers | Registered Nurse | Administrator |
No | 163WC1500X | Nursing Service Providers | Registered Nurse | Community Health |
No | 163WG0000X | Nursing Service Providers | Registered Nurse | General Practice |
No | 163WC1600X | Nursing Service Providers | Registered Nurse | Continuing Education/Staff Development |
No | 171400000X | Other Service Providers | Health & Wellness Coach | |
No | 174H00000X | Other Service Providers | Health Educator | |
No | 163WL0100X | Nursing Service Providers | Registered Nurse | Lactation Consultant |
No | 163WP0808X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health |
No | 163WP1700X | Nursing Service Providers | Registered Nurse | Perinatal |
No | 163WR0400X | Nursing Service Providers | Registered Nurse | Rehabilitation |
No | 374K00000X | Nursing Service Related Providers | Religious Nonmedical Practitioner | |
No | 385H00000X | Respite Care Facility | Respite Care | |
No | 373H00000X | Nursing Service Related Providers | Day Training/Habilitation Specialist |