Active NPI
Rebecca Lea Colon, D.O.
- Family Medicine Physician
- Ft Lauderdale, FL
National Provider Identifier
1316994445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS9426
- Practice address
- 6405 N Federal Hwy
Suite 205
Ft Lauderdale, FL 33308-1412 - Phone
- (954) 772-2411
- Fax
- (954) 772-3766
- NPI assigned
- May 27, 2006
- 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 Medicine Physician | 207Q00000X | OS9426 | FL | Primary |
Addresses
Primary practice location
6405 N Federal Hwy
Suite 205
Ft Lauderdale, FL 33308-1412
Mailing address
6405 N Federal Hwy
Suite 205
Ft Lauderdale, FL 33308-1412
Phone (954) 772-2411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS9426 | Other | FL | FLORIDA MEDICAL LICENSE |
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
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yvonne R S Sherrer MD PA | Past | Accepting new patients | |
| Lifeway Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
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- NPI 1912056110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1316994445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 N FEDERAL HWY",
"address_2": "SUITE 205",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333081412",
"telephone_number": "954-772-2411",
"fax_number": "954-772-3766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 N FEDERAL HWY",
"address_2": "SUITE 205",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333081412",
"telephone_number": "954-772-2411",
"fax_number": "954-772-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "REBECCA",
"middle_name": "LEA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS9426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL LICENSE",
"identifier": "OS9426",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.