Individual provider Active NPI

Katie Anne Colvard, NP-C

  • Family Nurse Practitioner
  • Paso Robles, CA
National Provider Identifier
1477082188
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006711 Issued in CA
Practice address
320 Montebello Oaks Dr
Paso Robles, CA 93446-7116
Phone
(805) 835-8865
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 5

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellbridge Medical Inc 5 clinicians

Practice addresses (Care Compare)

2500 Pecho Valley Rd
Los Osos, CA 93402-4104
Phone (805) 706-0337

Hospital & facility affiliations

  • Aevum Home Health Home health agency, San Luis Obispo, CA, CCN 559787
  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Aevum Hospice LLC Hospice, San Luis Obispo, CA, CCN D61571
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aevum Hospice LLCSan Luis Obispo, CA, CCN D61571 Hospice W-2 Managing Employee Mar 24, 2025

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20170824000992 CA Practitioner - Nurse Practitioner 4082986153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellbridge Medical Inc. CurrentSince Feb 6, 2024 Accepting new patients
Kevin Parzych a Medical Corp Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006711 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

320 Montebello Oaks Dr
Paso Robles, CA 93446-7116

Mailing address

320 Montebello Oaks Dr
Paso Robles, CA 93446-7116
Phone (805) 835-8865

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477082188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MONTEBELLO OAKS DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467116",
            "telephone_number": "805-835-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MONTEBELLO OAKS DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467116",
            "telephone_number": "805-835-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVARD",
        "first_name": "KATIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

Verify at the official NPI Registry.