Individual provider Active NPI

Johanna Colon

  • Clinical Social Worker
  • Coamo, PR
National Provider Identifier
1043072481
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9123 Issued in PR
Practice address
Bo. Pulguillas Carr. 14 Ramal 723 KM 6.7
Coamo, PR 00769
Phone
(939) 213-4225
NPI assigned
Jan 30, 2024
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9123 PR Primary

Addresses

Primary practice location

Bo. Pulguillas Carr. 14 Ramal 723 KM 6.7
Coamo, PR 00769

Mailing address

HC 2 Box 4962
Coamo, PR 00769-9599
Phone (939) 213-4225

Other practice location 1

Bo. Llanadas Carr. 446 km 15
Isabela, PR 00662
Phone (939) 213-4225

Other names 1

  • Johanna Colon Other name

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

LicenseStateTypeSpecialty
9123PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1043072481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 4962",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699599",
            "telephone_number": "939-213-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. PULGUILLAS CARR. 14 RAMAL 723 KM 6.7",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "939-213-4225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bo. Llanadas Carr. 446 km 15",
            "address_purpose": "LOCATION",
            "city": "Isabela",
            "state": "PR",
            "postal_code": "00662",
            "country_code": "US",
            "telephone_number": "939-213-4225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "JOHANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "9123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "COLON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.