Joan M Collett, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

369162-4405 Issued in UT

Practice address

1055 N 500 W Ste 202, BLDG C
Provo, UT 84604-8460

Phone

(801) 374-2367

Fax

(801) 429-8015

NPI assigned

Sep 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164703328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CIRCLE OF HOPE DR",
            "address_2": "ROOM N1550",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125550",
            "telephone_number": "801-213-4270",
            "fax_number": "801-585-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 500 W STE 202, BLDG C",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846048460",
            "telephone_number": "801-374-2367",
            "fax_number": "801-429-8015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Circle Of Hope Dr",
            "address_2": "Room N1550",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841125550",
            "country_code": "US",
            "telephone_number": "801-213-4270",
            "fax_number": "801-585-7902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1152 E 200 N",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032004",
            "country_code": "US",
            "telephone_number": "801-772-0698",
            "fax_number": "801-772-0705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 E Kimballs Ln Ste 305",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840205021",
            "country_code": "US",
            "telephone_number": "801-655-5670",
            "fax_number": "385-203-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLETT",
        "first_name": "JOAN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "369162-4408",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "369162-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennesa Lynn Coleman
• Nathan Paul Coleman, DO
• Katie Coles
• Leesa Coles
• Alan L Colledge, MD
• Emily K Collier
• Skyla Collier
• Alex Ryan Collings
• Heidi Collins
• John S Collins, MD

• Adult Health Nurse Practitioner in Provo, UT
• Providers in Provo, UT by specialty
• Adult Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.