Individual provider Active NPI

Colleen Todorovich, FNP

  • Family Nurse Practitioner
  • Anaconda, MT
National Provider Identifier
1265789507
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10939 Issued in MT
Practice address
118 E 7TH St
Suite 2a
Anaconda, MT 59711-2900
Phone
(406) 496-3000
Fax
(406) 496-3030
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10939 MT Primary

Addresses

Primary practice location

118 E 7TH St
Suite 2a
Anaconda, MT 59711-2900

Mailing address

118 E 7TH St
Suite 2a
Anaconda, MT 59711-2900
Phone (406) 496-3000

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

State licenses

LicenseStateTypeSpecialty
10939MTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1265789507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E 7TH ST",
            "address_2": "SUITE 2A",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112900",
            "telephone_number": "406-496-3000",
            "fax_number": "406-496-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E 7TH ST",
            "address_2": "SUITE 2A",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112900",
            "telephone_number": "406-496-3000",
            "fax_number": "406-496-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODOROVICH",
        "first_name": "COLLEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "10939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.