Andrea Marie Colon, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND1107 Issued in CA

Practice address

2121 E Coast Hwy Ste 210
Corona del Mar, CA 92625-1934

Phone

(949) 891-1693

Fax

(949) 861-9109

NPI assigned

Nov 29, 2018

Last updated

Mar 5, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jennifer J Stagg ND LLC

  • Naturopath
  • Farmington, CT
  • NPI 1164686051
  NPD (past)
• Mark S Stagg DC LLC

  • Chiropractor
  • Farmington, CT
  • NPI 1245289438
  NPD (past)

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1215407580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 PARK NEWPORT APT 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606033",
            "telephone_number": "401-212-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 210",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251934",
            "telephone_number": "949-891-1693",
            "fax_number": "949-861-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1107",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast Hearing Aid Center
• Coast Hearing Services, a Professional Corp
• Donna Felker Cody, M.S.
• Maxine Beth Cohen, MFT
• Kathleen Ann Colao, LMFT, RDN
• Eulalia Cortez
• Micah Crowley, D.M.D.
• Ellen Dale, PT, DPT
• Nori Deatherage
• Deva Health, Corp.

• Naturopath in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.