Active NPI
Erin Colvard, RD
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1508429457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7987
- Practice address
- 16601 N 12TH St Apt 1049
Phoenix, AZ 85022-7711 - Phone
- (602) 999-4980
- NPI assigned
- Apr 16, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7987 | AZ | Primary |
Addresses
Primary practice location
16601 N 12TH St Apt 1049
Phoenix, AZ 85022-7711
Mailing address
16601 N 12TH St Apt 1049
Phoenix, AZ 85022-7711
Phone (602) 999-4980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1508429457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16601 N 12TH ST APT 1049",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850227711",
"telephone_number": "602-999-4980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16601 N 12TH ST APT 1049",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850227711",
"telephone_number": "602-999-4980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVARD",
"first_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "7987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.