Active NPI
Grisel Colon, RN, BSN ,CM
- Registered Nurse
- Wauconda, IL
National Provider Identifier
1235548181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041211547
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 041211547 | IL | MD | Registered 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.