Active NPI
Celyness Colina Pratts
- Medical Physician Assistant
- Tucson, AZ
National Provider Identifier
1346937059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10211
- Practice address
- 2177 W Burlwood Way
Tucson, AZ 85745-7038 - Phone
- (787) 638-8519
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10211 | AZ | Primary |
| Medical Physician Assistant | 363AM0700X | PA-1410 | PR |
Addresses
Primary practice location
2177 W Burlwood Way
Tucson, AZ 85745-7038
Mailing address
2501 W Burbank Blvd Ste 200
Burbank, CA 91505-2347
Phone (818) 856-9535
Other practice location 1
2501 W Burbank Blvd Ste 200
Burbank, CA 91505-2347
Phone (818) 856-9535
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10211 | AZ | MD | Medical Physician Assistant |
| PA-1410 | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718409600000",
"number": "1346937059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W BURBANK BLVD STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "915052347",
"telephone_number": "818-856-9535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2177 W BURLWOOD WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857457038",
"telephone_number": "787-638-8519"
}
],
"practiceLocations": [
{
"address_1": "2501 W Burbank Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915052347",
"country_code": "US",
"telephone_number": "818-856-9535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLINA PRATTS",
"first_name": "CELYNESS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-21",
"last_updated": "2024-06-15",
"certification_date": "2024-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "10211",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "PA-1410",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.