Individual provider Active NPI

Katie Jean Colonna, FNP-C

  • Family Nurse Practitioner
  • Kingman, AZ
National Provider Identifier
1558083923
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
282598 Issued in AZ
Practice address
2331 Hualapai Mountain Rd Ste F
Kingman, AZ 86401-6207
Phone
(928) 299-5299
NPI assigned
Sep 13, 2022
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 282598 AZ Primary

Addresses

Primary practice location

2331 Hualapai Mountain Rd Ste F
Kingman, AZ 86401-6207

Mailing address

2331 Hualapai Mountain Rd Ste F
Kingman, AZ 86401-6207
Phone (928) 299-5299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230307001582 AZ Practitioner - Nurse Practitioner 2567835812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prima Medical Care LLCGroup PAC ID 4789037078, 3 clinicians

Practice addresses (Care Compare)

99 Riviera Dr
Lake Havasu City, AZ 86403-5713
Phone (503) 851-0575

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282598AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonology Group LLC Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients
Prima Medical Care LLC Multi-Specialty CurrentSince Nov 5, 2023 Accepting new patients

Locations

3003 Highway 95
#D51
Bullhead City, AZ 86442
Phone (928) 299-5299

3003 Highway 95
Ste D51
Bullhead City, AZ 86442

1847 Pacific Ave
Kingman, AZ 86401
Phone (928) 302-3798

2331 Hualapai Mountain Rd
Ste F
Kingman, AZ 86401
Phone (928) 299-5299

99 Riviera Dr
Lk Havasu Cty, AZ 86403
Phone (503) 851-0575

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 2

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1558083923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 HUALAPAI MOUNTAIN RD STE F",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016207",
            "telephone_number": "928-299-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 HUALAPAI MOUNTAIN RD STE F",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016207",
            "telephone_number": "928-299-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLONNA",
        "first_name": "KATIE JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "282598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.