Individual provider Active NPI

Colleen J Thorpe, ND, LAC

  • Naturopath
  • Medina, NY
National Provider Identifier
1407072184
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
0084 Issued in MT
Practice address
510 Orient St.
Medina, NY 14103-1631
Phone
(585) 866-9025
Fax
(406) 233-6046
NPI assigned
Apr 18, 2007
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 0084 MT Primary

Addresses

Primary practice location

510 Orient St.
Medina, NY 14103-1631

Mailing address

510 Orient St.
Medina, NY 14103-1631
Phone (585) 866-9025

Other practice location 1

373 Davison Rd
Lockport, NY 14094-4020
Phone (585) 866-9025

Other names 1

  • Dr. Colleen J Gagliardi Former name

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

LicenseStateTypeSpecialty
0084MTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1407072184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ORIENT ST.",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031631",
            "telephone_number": "585-866-9025",
            "fax_number": "406-233-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ORIENT ST.",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031631",
            "telephone_number": "585-866-9025",
            "fax_number": "406-233-6046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 Davison Rd",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "140944020",
            "country_code": "US",
            "telephone_number": "585-866-9025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORPE",
        "first_name": "COLLEEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MT",
            "license": "0084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "GAGLIARDI",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "ND LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medina, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.