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Marjorie Coleman

Contractor β€’ Vail, AZ

Active NPI 1336266485 Individual Practitioner Female Practitioner
Practice location in NPPES

12128 E Becker Dr
Vail, AZ 856416880

Call 5202369023 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12128 E Becker Dr

Vail, AZ 856416880

Telephone 5202369023
Organization at the Same NPPES Address or Phone
Assurance Assertive Community Treatment, Llc Facility NPI 1023550910

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Vail and Arizona

7 active clinicians are listed under Contractor with a practice address in Vail, AZ (333 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-05
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Adhs
ADBH20009 (AZ)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location December 05, 2025

Registered at 12128 E BECKER DR, VAIL, AZ 856416880 (Tel: 5202369023)

πŸ“
Updated Business Mailing Address December 05, 2025

Registered at PO BOX 86537, TUCSON, AZ 857546537 (Tel: 5207211887)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2025

Contractor

πŸ“
Updated Practice Location December 20, 2022

Registered at 4807 E CANARY GRASS DR, TUCSON, AZ 857565265 (Tel: 5202369023)

πŸ“
Updated Business Mailing Address December 20, 2022

Registered at 4807 E CANARY GRASS DR, TUCSON, AZ 857565265 (Tel: 5202369023)

πŸ‘€
Provider Name / Credentials Updated December 20, 2022

Recorded as MARJORIE COLEMAN

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 3709 9TH STREET SW, LEHIGH ACRES, FL 33971 (Tel: 2392819589)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3709 9TH STREET SW, LEHIGH ACRES, FL 33971 (Tel: 2392819589)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as MARJORIE ST.GERMAIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker

🟒
Initial NPI Registration & Enumeration March 23, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336266485
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: December 05, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 86537

Tucson, AZ 857546537

Phone: 5207211887

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.