Active NPI
Michelle Walton Colburn, AU.D.
- Audiologist
- West Hartford, CT
National Provider Identifier
1184684276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000509
- Practice address
- 1013 Farmington Ave
West Hartford, CT 06107-2181 - Phone
- (860) 233-2020
- NPI assigned
- Mar 24, 2006
- Last updated
- Apr 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000509 | CT | Primary |
Addresses
Primary practice location
1013 Farmington Ave
West Hartford, CT 06107-2181
Mailing address
1013 Farmington Ave
West Hartford, CT 06107-2181
Phone (860) 233-2020
Other names 1
- Ms. Angela Michelle Walton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Florida College of Medicine, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1216 Farmington Ave
Suite 101
West Hartford, CT 06107-2673
Phone (860) 236-9000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000509 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solinsky Hearing Center, Inc | Audiologist | Past | Accepting new patients |
| University of Florida | Audiologist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- West Hartford, CT
- NPI 1184069288
-
- Audiologist
- West Hartford, CT
- NPI 1386564649
-
dba University of Florida Speech & Hearing Clinic
- Speech-Language Pathologist
- Gainesville, FL
- NPI 1689633976
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1184684276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 FARMINGTON AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072181",
"telephone_number": "860-233-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 FARMINGTON AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072181",
"telephone_number": "860-233-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBURN",
"first_name": "MICHELLE",
"middle_name": "WALTON",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "WALTON",
"middle_name": "MICHELLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.