Colleen E Woodington, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3555 Willow Lake Blvd Ste 140
Vadnais Heights, MN 55110-4462

Phone

(651) 770-2124

NPI assigned

Jun 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Northern Lights Pediatric & Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • Vadnais Heights, MN
  • NPI 1912069519
  NPD (past)

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346689460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LAKE BLVD STE 140",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551104462",
            "telephone_number": "651-770-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LAKE BLVD STE 140",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551104462",
            "telephone_number": "651-770-2124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2905 N Main St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625264274",
            "country_code": "US",
            "telephone_number": "217-877-9117 x224",
            "fax_number": "217-877-3082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14712 Victor Hugo Blvd N",
            "address_purpose": "LOCATION",
            "city": "Hugo",
            "state": "MN",
            "postal_code": "550386419",
            "country_code": "US",
            "telephone_number": "651-777-2362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODINGTON",
        "first_name": "COLLEEN",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natia Wilcek, LICSW
• Hope Wilkins, CMT
• Reed Conly Williams, M.D.
• Theresa M Wollan, MD
• Paul Severin Wood, DC
• Pamela D Wright, OTR/L, CHT
• Dee Xiong
• Grace C Yackly, DPT
• James Timothy Young, MD
• Elena Kathleen Zadow

• Physician Assistant in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.