Individual provider Active NPI

Grisel Colon, RN, BSN ,CM

  • Registered Nurse
  • Wauconda, IL
National Provider Identifier
1235548181
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041211547 Issued in IL
Practice address
114 Honey Hill Dr
Wauconda, IL 60084-1712
Phone
(773) 320-1035
Fax
(312) 347-0061
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041211547 IL Primary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 041211547 IL
Case Management Registered Nurse 163WC0400X 041211547 IL
Gerontology Registered Nurse 163WG0600X 041211547 IL
Pain Management Registered Nurse 163WP0000X 041211547 IL
Psychiatric/Mental Health Registered Nurse 163WP0808X 041211547 IL
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 041211547 IL

Addresses

Primary practice location

114 Honey Hill Dr
Wauconda, IL 60084-1712

Mailing address

114 Honey Hill
Wauconda, IL 60084
Phone (773) 320-1035

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041211547ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1235548181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HONEY HILL",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "60084",
            "telephone_number": "773-320-1035",
            "fax_number": "312-347-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HONEY HILL DR",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841712",
            "telephone_number": "773-320-1035",
            "fax_number": "312-347-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "GRISEL",
        "name_prefix": "Ms.",
        "credential": "RN, BSN ,CM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041211547",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "041211547",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IL",
            "license": "041211547",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "IL",
            "license": "041211547",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "IL",
            "license": "041211547",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041211547",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "IL",
            "license": "041211547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauconda, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.