Colleen Nicolas

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CPT-02421480 Issued in CA

Practice address

2201 N Lakewood Blvd Ste D132
Long Beach, CA 90815-2552

Phone

(877) 902-8546

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1285472852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N LAKEWOOD BLVD STE D132",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152552",
            "telephone_number": "877-902-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N LAKEWOOD BLVD STE D132",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152552",
            "telephone_number": "877-902-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT-02421480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Nichols
• Lashawn Nichols, RDA
• Stephanie Nichols
• Beverly B Nickerson, N.P
• Charlotte Stephanie Nicolas, FNP
• Elijah Nicolas
• Leyla Guadalupe Nicolas
• Michael Mark Nicolas
• Kevin Adam Nicolau
• Nicole Abadi, Marriage and Family Therapist, Inc (LBC Wellness)

• Phlebotomy Technician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.