Individual provider Active NPI

Luis Alexis Colon, LCNA

  • Nurse's Aide
  • Ocala, FL
National Provider Identifier
1164785127
Registry record updated Jun 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA 124555 Issued in FL
Practice address
231 NE 28TH Ave
Lot 103
Ocala, FL 34470-1236
Phone
(352) 804-4131
NPI assigned
Jun 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X CNA 124555 FL Primary

Addresses

Primary practice location

231 NE 28TH Ave
Lot 103
Ocala, FL 34470-1236

Mailing address

231 NE 28TH Ave
Lot 103
Ocala, FL 34470-1236
Phone (352) 804-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CNA 124555FLMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340496000000",
    "number": "1164785127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 NE 28TH AVE",
            "address_2": "LOT 103",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344701236",
            "telephone_number": "352-804-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NE 28TH AVE",
            "address_2": "LOT 103",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344701236",
            "telephone_number": "352-804-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "LUIS",
        "middle_name": "ALEXIS",
        "name_prefix": "Mr.",
        "credential": "LCNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA 124555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; 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.