Active NPI
Colette Yolanda Thompson, COTA
- Contractor
- Park City, UT
National Provider Identifier
1285836643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 1640 West Redstone Center
Suite 200
Park City, UT 84098 - Phone
- (720) 489-0790
- NPI assigned
- Jun 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
1640 West Redstone Center
Suite 200
Park City, UT 84098
Mailing address
12502 E. Evans Circle
Unit B
Aurora, CO 80014
Phone (303) 368-8265
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285836643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12502 E. EVANS CIRCLE",
"address_2": "UNIT B",
"city": "AURORA",
"state": "CO",
"postal_code": "80014",
"telephone_number": "303-368-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 WEST REDSTONE CENTER",
"address_2": "SUITE 200",
"city": "PARK CITY",
"state": "UT",
"postal_code": "84098",
"telephone_number": "720-489-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "COLETTE",
"middle_name": "YOLANDA",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.