Active NPI
Colleen Sanders, FNP-BC
- Family Nurse Practitioner
- Washington, DC
National Provider Identifier
1306005426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024167833
- Practice address
- 2639 Connecticut Ave NW
C-100
Washington, DC 20008-1537 - Phone
- (301) 869-9776
- NPI assigned
- Jun 4, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024167833 | VA | Primary |
Addresses
Primary practice location
2639 Connecticut Ave NW
C-100
Washington, DC 20008-1537
Mailing address
15825 Shady Grove Rd
140
Rockville, MD 20850-4008
Phone (301) 869-9776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
Interoperability endpoints
- colleen.sanders@cpcl.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1831492586
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1306005426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15825 SHADY GROVE RD",
"address_2": "140",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504008",
"telephone_number": "301-869-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2639 CONNECTICUT AVE NW",
"address_2": "C-100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200081537",
"telephone_number": "301-869-9776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "COLLEEN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024167833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.