Active NPI
Colleen McDougall
- Family Nurse Practitioner
- Stratford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6302
- Practice address
- 205 Quenby PL
Stratford, CT 06614-1863 - Phone
- (551) 486-6111
- NPI assigned
- Sep 29, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6302 | CT | Primary |
Addresses
Primary practice location
205 Quenby PL
Stratford, CT 06614-1863
Mailing address
185 Asylum St
Hartford, CT 06103-3408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Based Long Term Care H PC | Current | Accepting new patients | |
| Careconnectmd Connecticut PC | Current | Accepting new patients | |
| Healthdrive Medical Services Southeast LLC | Family | Current | Accepting new patients |
| Gaylord Hospital, Inc. | Current | Accepting new patients | |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550
5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264
1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000
50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Stamford, CT
- NPI 1467187336
-
- Long Term Care Hospital
- Wallingford, CT
- NPI 1730137753
-
- Nurse Practitioner
- Columbia, MD
- NPI 1437930146
CT, Family
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
CT
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1093185308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 ASYLUM ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061033408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 QUENBY PL",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066141863",
"telephone_number": "551-486-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOUGALL",
"first_name": "COLLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-29",
"last_updated": "2023-10-11",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "6302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.