Individual provider Active NPI

Colleen Malone, APRN

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1154817658
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
24406 Issued in TN
Practice address
7320 Shallowford Rd Ste B
Chattanooga, TN 37421
Phone
(423) 648-6483
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24406 TN Primary

Addresses

Primary practice location

7320 Shallowford Rd Ste B
Chattanooga, TN 37421

Mailing address

7320 Shallowford Rd Ste B
Chattanooga, TN 37421-4942

Other practice location 1

7320 Shallowford Rd Ste B
Chattanooga, TN 37421
Phone (423) 648-6483

Other practice location 2

7320 Shallowford Rd Ste B
Chattanooga, TN 37421
Phone (423) 648-6483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190408002290 TN Practitioner - Nurse Practitioner 1254672819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

9058 Old Lee Hwy
Ooltewah, TN 37363-5631
Phone (423) 458-1426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24406TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DX Mso, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC PastSince Aug 1, 2024 Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

2037 Congress Pkwy S
Athens, TN 37303
Phone (423) 381-0152

1521 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

5546 Highway 153
Hixson, TN 37343

241 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 413-0185

9058 Old Lee Hwy
Ooltewah, TN 37363
Phone (423) 531-9110

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1154817658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SHALLOWFORD RD STE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 SHALLOWFORD RD STE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-648-6483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7320 Shallowford Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37421",
            "country_code": "US",
            "telephone_number": "423-648-6483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7320 Shallowford Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37421",
            "country_code": "US",
            "telephone_number": "423-648-6483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "24406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.