Active NPI
Nina Lynn Coletta, ATC, LAT
- Athletic Trainer
- Lithia, FL
National Provider Identifier
1407595309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 6375
- Practice address
- 13837 Circa Crossing Dr
Lithia, FL 33547-4382 - Phone
- (813) 684-2663
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 6375 | FL | Primary |
Addresses
Primary practice location
13837 Circa Crossing Dr
Lithia, FL 33547-4382
Mailing address
19628 45TH Ave
Flushing, NY 11358-3508
Phone (718) 791-2911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | nina.coletta@omgtb.com | Direct | Orthopaedic Medical Group of Tampa Bay PA |
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 |
|---|---|---|---|
| 6375 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1407595309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19628 45TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113583508",
"telephone_number": "718-791-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13837 CIRCA CROSSING DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335474382",
"telephone_number": "813-684-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLETTA",
"first_name": "NINA",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "6375",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "nina.coletta@omgtb.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Orthopaedic Medical Group of Tampa Bay PA",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "13837 Circa Crossing Dr",
"city": "Lithia",
"state": "FL",
"country_code": "US",
"postal_code": "335474382",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lithia, FL
- Colin R Chambers, PHYSICIAN ASSISTANT
- Cassandra Lauren Chavers
- Frank Alexander Chavez
- Asia M Childs
- Cassandra Treann Cintron-Rivera
- Yvette Marie Collins
- Comfortable Care Dental Health Professionals, P.a.
- Comfortable Care Dental Health Professionals, P.a.
- Conde Dermatology Group PLLC
- Jennifer Moscoso Conde, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.