Individual provider Active NPI

Colleen Elizabeth Bartlett, ARNP

  • Pediatric Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1265750996
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9258235 Issued in FL
Practice address
3001 W Dr MLK Blvd
Suite 3012
Tampa, FL 33607-6307
Phone
(813) 554-8093
Fax
(813) 554-8657
NPI assigned
May 5, 2010
Last updated
Aug 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X ARNP9258235 FL
Pediatric Nurse Practitioner 363LP0200X ARNP9258235 FL Primary

Addresses

Primary practice location

3001 W Dr MLK Blvd
Suite 3012
Tampa, FL 33607-6307

Mailing address

PO Box 917770
Orlando, FL 32891-7770
Phone (813) 974-2201

Other identifiers 2

IdentifierTypeStateIssuer
Y05PHOtherFLBLUE CROSS BLUE SHIELD
0028720000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000638 FL Practitioner - Nurse Practitioner 3870754096 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph's Community Care Inc CurrentSince Sep 15, 2022 Accepting new patients
University Medical Service Association Inc CurrentSince Jun 28, 2016 Accepting new patients
University Medical Service Association Inc CurrentSince Jun 28, 2016 Accepting new patients
St Joseph's Hospital Inc CurrentSince Dec 8, 2022 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
St. Joseph's Hospital, Inc. Past Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3001 W Mlk Blvd
Ste 3012
Tampa, FL 33607
Phone (813) 554-8093

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

3003 W Mlk Blvd
#3012
Tampa, FL 33607
Phone (727) 384-1217

3003 W Mlk Blvd
Fl 3
Tampa, FL 33607
Phone (813) 554-8701

3500 E Fletcher Ave
Ste 100
Tampa, FL 33613
Phone (813) 282-8520

3550 W Waters Ave
Ste 110
Tampa, FL 33614
Phone (813) 886-8899

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1265750996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917770",
            "telephone_number": "813-974-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W DR MLK BLVD",
            "address_2": "SUITE 3012",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-554-8093",
            "fax_number": "813-554-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "FL",
            "license": "ARNP9258235",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9258235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y05PH",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028720000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.