Colleen Nielsen

Individual provider Active NPI Registered Nurse · Leadville, CO

NPI 1497984272 · NPPES record last updated Jul 14, 2009

Key facts

NPI
1497984272
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
186358 (CO)
Practice address
112 W 5TH St
Leadville, CO 80461-3510
Phone
(719) 486-0118
Fax
(719) 486-4168
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
186358COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County School District R-1 Current Accepting new patients
Lake County Government Past
since Jul 12, 2020
Accepting new patients
Lake County Government Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 186358 CO Yes

Addresses

Primary practice location

112 W 5TH St
Leadville, CO 80461-3510

Mailing address

PO Box 626
Leadville, CO 80461-0626
Phone (719) 486-0118

Other providers in Leadville, CO

All providers in Leadville, CO · Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.