Individual provider Active NPI

Colleen Anne Zelonis, CNM

  • Advanced Practice Midwife
  • Westlake, OH
National Provider Identifier
1275674483
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NM06658 Issued in OH
Practice address
29160 Center Ridge Rd Ste M
Westlake, OH 44145-5258
Phone
(440) 835-6996
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NM06658 OH Primary

Addresses

Primary practice location

29160 Center Ridge Rd Ste M
Westlake, OH 44145-5258

Mailing address

29160 Center Ridge Rd Ste M
Westlake, OH 44145-5258
Phone (440) 835-6996

Other practice location 1

29101 Health Campus Dr
Suite 250
Westlake, OH 44145-5270
Phone (440) 827-5483

Other identifiers 1

IdentifierTypeStateIssuer
3139375MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address colleenzelonis@uhps.allscriptsdirect.net Health Information Exchange (HIE)

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NM06658OHMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1275674483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD STE M",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455258",
            "telephone_number": "440-835-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD STE M",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455258",
            "telephone_number": "440-835-6996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29101 Health Campus Dr",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441455270",
            "country_code": "US",
            "telephone_number": "440-827-5483",
            "fax_number": "440-827-5453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELONIS",
        "first_name": "COLLEEN",
        "middle_name": "ANNE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "NM06658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3139375",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "colleenzelonis@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "29160 Center Ridge Rd",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441455225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.