Individual provider Active NPI

Holly Lynn Colindres, ARNP

  • Family Nurse Practitioner
  • Osprey, FL
National Provider Identifier
1508175365
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9231657 Issued in FL
Practice address
929 S Tamiami TRL
Suite 204
Osprey, FL 34229-9239
Phone
(941) 918-1900
Fax
(941) 918-1902
NPI assigned
Sep 28, 2010
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9231657 FL Primary

Addresses

Primary practice location

929 S Tamiami TRL
Suite 204
Osprey, FL 34229-9239

Mailing address

929 S Tamiami TRL
Suite 204
Osprey, FL 34229-9239
Phone (941) 918-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20121017000924 FL Practitioner - Nurse Practitioner 5092965574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Dermatology, PLGroup PAC ID 0648312793, 4 clinicians

Practice addresses (Care Compare)

929 S Tamiami TRL
Suite 201
Osprey, FL 34229-9241
Phone (941) 918-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dermatology, PL CurrentSince Oct 1, 2012 Accepting new patients

Locations

929 S Tamiami Trl
Ste 201
Osprey, FL 34229
Phone (941) 587-1790

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 1

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": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1508175365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 S TAMIAMI TRL",
            "address_2": "SUITE 204",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299239",
            "telephone_number": "941-918-1900",
            "fax_number": "941-918-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 S TAMIAMI TRL",
            "address_2": "SUITE 204",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299239",
            "telephone_number": "941-918-1900",
            "fax_number": "941-918-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLINDRES",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9231657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osprey, FL

Sources for this page

Verify at the official NPI Registry.