Individual provider Active NPI

Colleen Marie Taylor, APRN

  • Primary Care Nurse Practitioner
  • Derry, NH
National Provider Identifier
1457642654
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
063403-23 Issued in NH
Practice address
6 Tsienneto Rd Ste 300
Derry, NH 03038-1584
Phone
(603) 216-0400
Fax
(603) 216-0400
NPI assigned
Apr 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 063403-21 NH
Primary Care Nurse Practitioner 363LP2300X 063403-23 NH Primary

Addresses

Primary practice location

6 Tsienneto Rd Ste 300
Derry, NH 03038-1584

Mailing address

6 Tsienneto Rd Ste 300
Derry, NH 03038-1584
Phone (603) 216-0400

Other practice location 1

6 S State Street
Concord, NH 03301
Phone (603) 228-3862

Other practice location 2

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005000636 NH Practitioner - Nurse Practitioner 9335414093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
063403-21NHMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Health Services CurrentSince Sep 11, 2017 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 11, 2017 Accepting new patients
Life Choice Hospice of New Hampshire, LLC CurrentSince Dec 22, 2022 Accepting new patients
Southern New Hampshire Internal Medicine Associates, PLLC CurrentSince Mar 22, 2021 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince May 1, 2023 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince May 1, 2023 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

6 Tsienneto Rd
Ste 300
Derry, NH 03038
Phone (603) 216-0479

1 Hampton Rd
Unit 210
Exeter, NH 03833
Phone (603) 964-5183

208 Robinson Rd
Hudson, NH 03051
Phone (603) 577-3410

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

4 Dobson Way
Merrimack, NH 03054
Phone (603) 424-4181

442 Nashua St
Milford, NH 03055
Phone (603) 673-3014

166 Kinsley St
Ste 201
Nashua, NH 03060
Phone (603) 880-9177

168 Kinsley St
Nashua, NH 03060
Phone (603) 578-9363

460 Amherst St
Nashua, NH 03063
Phone (603) 577-8400

166 Kinsley St
Ste 101
Nashua, NH 03060
Phone (603) 881-7141

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

173 Daniel Webster Hwy
Nashua, NH 03060
Phone (603) 891-4400

168 Kinsley St
Ste 10
Nashua, NH 03060
Phone (603) 578-9363

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Interoperability endpoints

  • Direct secure messaging: colleentaylor@snhima.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1457642654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 300",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-216-0400",
            "fax_number": "603-216-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 300",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-216-0400",
            "fax_number": "603-216-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 S State Street",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "03301",
            "country_code": "US",
            "telephone_number": "603-228-3862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hitchcock Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031044125",
            "country_code": "US",
            "telephone_number": "603-695-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NH",
            "license": "063403-21",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NH",
            "license": "063403-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.