Individual provider Active NPI

Judith Colla, CNM

  • Advanced Practice Midwife
  • Philadelphia, PA
National Provider Identifier
1558375550
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW0080552 Issued in PA
Practice address
601 Walnut St
Suite 925
Philadelphia, PA 19106-3323
Phone
(215) 829-8000
NPI assigned
Jul 28, 2006
Last updated
Jul 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW0080552 PA Primary

Addresses

Primary practice location

601 Walnut St
Suite 925
Philadelphia, PA 19106-3323

Mailing address

601 Walnut St
Suite 925
Philadelphia, PA 19106-3323
Phone (215) 829-8000

Other identifiers 1

IdentifierTypeStateIssuer
0015913390001MedicaidPA

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
MW0080552PAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1558375550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST",
            "address_2": "SUITE 925",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063323",
            "telephone_number": "215-829-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST",
            "address_2": "SUITE 925",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063323",
            "telephone_number": "215-829-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLA",
        "first_name": "JUDITH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW0080552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015913390001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.