Individual provider Active NPI

Colleen Marie Perlak-Soto, FNP-C

  • Family Nurse Practitioner
  • Wakefield, RI
National Provider Identifier
1518402908
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN01498 Issued in RI
Practice address
11 Main St
Wakefield, RI 02879-3562
Phone
(866) 389-2727
Fax
(401) 783-0474
NPI assigned
Dec 21, 2016
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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 APRN01498 RI Primary

Addresses

Primary practice location

11 Main St
Wakefield, RI 02879-3562

Mailing address

11 Main St
Wakefield, RI 02879-3569
Phone (401) 783-3384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20170417000612 RI Practitioner - Nurse Practitioner 7911283544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Rhode Island LLCGroup PAC ID 8224350863, 25 clinicians

Practice addresses (Care Compare)

1054 Cass Ave
Woonsocket, RI 02895-4935
Phone (866) 389-2727

11 Main St
Wakefield, RI 02879-3562
Phone (866) 389-2727

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Rhode Island, LLC Family CurrentSince Mar 12, 2017 Accepting new patients

Locations

11 Main St
Wakefield, RI 02879
Phone (401) 216-3854

151 Franklin St
Westerly, RI 02891
Phone (401) 596-8182

1054 Cass Ave
Woonsocket, RI 02895
Phone (401) 581-6161

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1518402908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793569",
            "telephone_number": "401-783-3384",
            "fax_number": "401-783-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793562",
            "telephone_number": "866-389-2727",
            "fax_number": "401-783-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLAK-SOTO",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.