Active NPI
Colleen J Thorpe, ND, LAC
- Naturopath
- Medina, NY
National Provider Identifier
1407072184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 0084
- 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, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 0084 | MT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
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.