Vivian L Colont, RN APRN NURSE PRACTI

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN89370 Issued in TN

Practice address

414 Greenbelt Drive
Maryville Pediatric Group
Maryville, TN 37804

Phone

(865) 982-0032

Fax

(865) 983-4172

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104921501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 GREENBELT DRIVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37804",
            "telephone_number": "865-982-0032",
            "fax_number": "865-983-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 GREENBELT DRIVE",
            "address_2": "MARYVILLE PEDIATRIC GROUP",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37804",
            "telephone_number": "865-982-0032",
            "fax_number": "865-983-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLONT",
        "first_name": "VIVIAN",
        "middle_name": "L",
        "credential": "RN APRN NURSE PRACTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "RN89370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Collins, CCC-SLP
• Jean Marie Collins, D.O.
• Kimberly Wilder Collins, MD
• Patricia A Collins, DPH
• Colonial Development, Inc.
• Linda R. Colvin
• Shelby Ann Combs
• Compassion Counseling
• Complete Family Care of Maryville, PLLC
• Jillian Conlon

• Pediatric Nurse Practitioner in Maryville, TN
• Providers in Maryville, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.