Geraldine Ann Colburn, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

047409-23 Issued in NH

Practice address

214 Daniel Webster Hwy
CVS Minute Clinic
Nashua, NH 03060-5504

Phone

(603) 888-4354

NPI assigned

Feb 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• LGH Professional Services LLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1417485541
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1477526325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SAINT JAMES PL",
            "address_2": "1007",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622666",
            "telephone_number": "603-897-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 DANIEL WEBSTER HWY",
            "address_2": "CVS MINUTE CLINIC",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605504",
            "telephone_number": "603-888-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "GERALDINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "96486",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "047409-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Cohen, PT
• Mitchell Cohen, M.D.
• Stephen Cohen, DMD
• Arianne Colameta
• Alizah Colburn
• Nancy J Colburn, PSYD
• Ashlee Nichole Coleman, CCC-SLP
• Hannah Coleman, M.S., OTR/L
• Maurice Jean Collard, RPH
• Brendan Collari, BA

• Family Nurse Practitioner in Nashua, NH
• Providers in Nashua, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.