Individual provider Active NPI

Melissa S Collord, RN

  • Registered Nurse
  • Vancouver, WA
National Provider Identifier
1508202060
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60077103 Issued in WA
Practice address
16505 SE 1St St
Suite a PMB 335
Vancouver, WA 98684-9586
Phone
(971) 570-0221
Fax
(866) 819-1380
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60077103 WA Primary

Addresses

Primary practice location

16505 SE 1St St
Suite a PMB 335
Vancouver, WA 98684-9586

Mailing address

16505 SE 1St St
Suite a PMB 335
Vancouver, WA 98684-9586
Phone (971) 570-0221

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60077103WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1508202060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16505 SE 1ST ST",
            "address_2": "SUITE A PMB 335",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986849586",
            "telephone_number": "971-570-0221",
            "fax_number": "866-819-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16505 SE 1ST ST",
            "address_2": "SUITE A PMB 335",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986849586",
            "telephone_number": "971-570-0221",
            "fax_number": "866-819-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLORD",
        "first_name": "MELISSA",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60077103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.