NPIMap

Organization Active NPI

Colleen J. Speidell NP PLC

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1033302195
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN084306 Issued in AZ
Legal business name
COLLEEN J. SPEIDELL NP PLC
Practice address
2281 W 24TH St
Ste 5
Yuma, AZ 85364-6197
Phone
(928) 317-2707
Fax
(928) 317-3119
NPI assigned
Aug 22, 2007
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Colleen J Speidell, N.P.NPI 1639164072
Title
Owner
Phone
(928) 317-2707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN084306 AZ Primary

Addresses

Primary practice location

2281 W 24TH St
Ste 5
Yuma, AZ 85364-6197

Mailing address

PO Box 672
Yuma, AZ 85366-0672
Phone (928) 317-2707

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1033302195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853660672",
            "telephone_number": "928-317-2707",
            "fax_number": "928-317-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 W 24TH ST",
            "address_2": "STE 5",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646197",
            "telephone_number": "928-317-2707",
            "fax_number": "928-317-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN J. SPEIDELL NP PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "SPEIDELL",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-317-2707",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN084306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.