Individual provider Active NPI

Colleen Ellen Zyla, FNP

  • Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
  • Rye Brook, NY
National Provider Identifier
1306453113
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/CenterTaxonomy code 261QM1103X
License
346374 Issued in NY
Practice address
800 Westchester Ave Ste S638
Rye Brook, NY 10573-1331
Phone
(855) 284-9191
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center 261QM1103X 346374 NY Primary

Addresses

Primary practice location

800 Westchester Ave Ste S638
Rye Brook, NY 10573-1331

Mailing address

4 Elsie Cir
Cornwall on Hudson, NY 12520-1231
Phone (914) 588-2616

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL https://www.logisticshealth.com/contact-us.aspx Direct Logistics Health Inc.
Other URL https://www.logisticshealth.com/contact-us.aspx Direct Logistics Health Inc.
Other URL https://www.logisticshealth.com/contact-us.aspx Direct Logistics Health Inc.

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

State licenses

LicenseStateTypeSpecialty
346374NYMDMilitary Ambulatory Procedure Visits Operational (Transportable) Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1306453113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ELSIE CIR",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201231",
            "telephone_number": "914-588-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WESTCHESTER AVE STE S638",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731331",
            "telephone_number": "855-284-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYLA",
        "first_name": "COLLEEN",
        "middle_name": "ELLEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1103X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable)",
            "state": "NY",
            "license": "346374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.logisticshealth.com/contact-us.aspx",
            "affiliation": "Y",
            "endpointDescription": "LHI Portal",
            "affiliationName": "Logistics Health Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "portal",
            "address_1": "328 Front St S",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546014023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.logisticshealth.com/contact-us.aspx",
            "affiliation": "Y",
            "endpointDescription": "LHI Portal",
            "affiliationName": "Logistics Health Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "portal",
            "address_1": "328 Front St S",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546014023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.logisticshealth.com/contact-us.aspx",
            "affiliation": "Y",
            "endpointDescription": "LHI Portal",
            "affiliationName": "Logistics Health Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "portal",
            "address_1": "328 Front St S",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546014023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.