Active NPI
Aileen S Colunio, FNP-C
- Nurse Practitioner
- Horseheads, NY
National Provider Identifier
1487647392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 289746
- Practice address
- 2977 Westinghouse Rd
Horseheads, NY 14845-8120 - Phone
- (607) 846-2199
- Fax
- (607) 846-2020
- NPI assigned
- Aug 25, 2005
- Last updated
- Apr 3, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP009001 | PA | |
| Nurse Practitioner | 363L00000X | 289746 | NY | Primary |
| Registered Nurse | 163W00000X | F3200391 | NY |
Addresses
Primary practice location
2977 Westinghouse Rd
Horseheads, NY 14845-8120
Mailing address
2977 Westinghouse Rd
Horseheads, NY 14845-8120
Phone (607) 846-2199
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02743171 | Medicaid | NY | |
| P00299300 | Other | PA | RR MEDICARE PIN |
| GU039832 | Other | PA | MEDICARE GROUP |
| CC9269 | Other | PA | RR MEDICARE GROUP |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3200391 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Nurse Practitioner
- Horseheads, NY
- NPI 1396049748
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1487647392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2977 WESTINGHOUSE RD",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148458120",
"telephone_number": "607-846-2199",
"fax_number": "607-846-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2977 WESTINGHOUSE RD",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148458120",
"telephone_number": "607-846-2199",
"fax_number": "607-846-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLUNIO",
"first_name": "AILEEN",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP009001",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "289746",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "F3200391",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02743171",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00299300",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "GU039832",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC9269",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Horseheads, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.