Patrice Colston, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.006264RX Issued in OH

Practice address

1 Headquarters Loop
Joint Base Elmendorf Richardson
Anchorage, AK 99505

Phone

(907) 384-1988

NPI assigned

Dec 3, 2015

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1144695073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 W ISLA DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239710",
            "telephone_number": "937-903-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEADQUARTERS LOOP",
            "address_2": "JOINT BASE ELMENDORF RICHARDSON",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99505",
            "telephone_number": "907-384-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLSTON",
        "first_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006264RX",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseofsharon Collins
• Tamara Bell Collins, LMT
• Omaira Colon Rodriguez, M.D.
• Jason Colon, OTRL
• Laurie Lee Colston, CPNP
• Edgar Prentiss Coltharp Jr., PA-C
• Michelle Coltrane, RN
• Ivan Mauricio Guillermo Columbus Morales, MD
• Andrea Combs
• Connie Combs

• Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.