Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Sade Coley, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1700424025

Dominique Sade Coley, PMHNP-BC is a Nurse Practitioner in Memphis, Tennessee. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Colorado and Louisiana.

Years since qualifying
7
Licensed in
CO, LA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

4041 Knight Arnold Rd Ste 100
Memphis, TN 38118-2128
Phone: (901) 572-1573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence C-APN.0004044-C-NP (CO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209864 (LA)

Record details

NPI number1700424025
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 17, 2019
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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