Active NPI
Danette Colovos, LMT
- Specialist
- Bend, OR
National Provider Identifier
1023430139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 19325
- Practice address
- 376 SW Bluff Dr Ste 2
Bend, OR 97702-1399 - Phone
- (541) 749-0023
- NPI assigned
- Jan 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 19325 | OR | Primary |
Addresses
Primary practice location
376 SW Bluff Dr Ste 2
Bend, OR 97702-1399
Mailing address
PO Box 841
Bend, OR 97709-0841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19325 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1023430139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841",
"city": "BEND",
"state": "OR",
"postal_code": "977090841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 SW BLUFF DR STE 2",
"city": "BEND",
"state": "OR",
"postal_code": "977021399",
"telephone_number": "541-749-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLOVOS",
"first_name": "DANETTE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-08",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "19325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.