Natalie M Colla, RD

Individual provider Active NPI Registered Dietitian · Hayden, ID

NPI 1306241815 · NPPES record last updated Oct 1, 2020

Key facts

NPI
1306241815
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
D838 (ID)
Practice address
8500 N Atlas Rd
Hayden, ID 83835-8332
Phone
(208) 415-5293
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kootenai Health Inc (394 clinicians)

Practice addresses (Care Compare)

1055 Riverside Ave
Orofino, ID 83544-9029
Phone (208) 476-5777

1919 Lincoln Way
Coeur D Alene, ID 83814-2527

Hospital & facility affiliations

  • Kootenai Health Hospital · Coeur D'Alene, ID · CCN 130049

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100 (apm)
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ID

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150119000566 ID Practitioner - Registered Dietitian Or Nutrition Professional 3173847316 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
D838IDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Incyte Pathology, PLLC Current Accepting new patients
Kootenai Health, Inc. Current
since Jan 1, 2024
Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. Current
since Jan 1, 2024
Accepting new patients

Locations

1919 Lincoln Way
Ste 211
Coeur D Alene, ID 83814
Phone (208) 625-4700

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

Interoperability endpoints

  • Direct secure messaging: natalie.collard.p79@direct.kootenai.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D838 ID Yes

Addresses

Primary practice location

8500 N Atlas Rd
Hayden, ID 83835-8332

Mailing address

PO Box 3482
Post Falls, ID 83877-3482
Phone (208) 209-6170

Other practice location 1

1919 Lincoln Way Ste 211
Coeur D Alene, ID 83814-2527
Phone (208) 625-5500

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address natalie.collard.p79@direct.kootenai.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 1, 2020.

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1306241815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3482",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838773482",
            "telephone_number": "208-209-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 N ATLAS RD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358332",
            "telephone_number": "208-415-5293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Lincoln Way Ste 211",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142527",
            "country_code": "US",
            "telephone_number": "208-625-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLA",
        "first_name": "NATALIE",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natalie.collard.p79@direct.kootenai.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1919 Lincoln Way Ste 211",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838142527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hayden, ID

All providers in Hayden, ID · Registered Dietitian in Idaho

Sources for this page

Verify at the official NPI Registry.