Individual provider Active NPI

Laura Chatherine Colihan, RPA C

  • Physician Assistant
  • Watertown, NY
National Provider Identifier
1376520627
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0103741 Issued in NY
Practice address
826 Washington St
Ste 106
Watertown, NY 13601-4071
Phone
(315) 786-2000
Fax
(315) 786-2899
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0103741 NY Primary

Addresses

Primary practice location

826 Washington St
Ste 106
Watertown, NY 13601-4071

Mailing address

826 Washington St
Ste 106
Watertown, NY 13601-4071
Phone (315) 786-2000

Other identifiers 3

IdentifierTypeStateIssuer
02620937MedicaidNY
783656OtherMVP
P00181733OtherRR MEDICARE

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0103741NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Medical Practice, PC PastSince Jul 12, 2021 Accepting new patients
James E. Willis MD PC PastSince Jan 1, 1996 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376520627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST",
            "address_2": "STE 106",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014071",
            "telephone_number": "315-786-2000",
            "fax_number": "315-786-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST",
            "address_2": "STE 106",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014071",
            "telephone_number": "315-786-2000",
            "fax_number": "315-786-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIHAN",
        "first_name": "LAURA",
        "middle_name": "CHATHERINE",
        "name_prefix": "Ms.",
        "credential": "RPA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0103741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02620937",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "783656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00181733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.