Active NPI
Colette Nicole Tilton, ARNP
- Family Nurse Practitioner
- Nashua, NH
National Provider Identifier
1568636165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 013838-23
- Practice address
- 22 Prospect St
Nashua, NH 03060-3924 - Phone
- (603) 883-1626
- Fax
- (603) 881-9914
- NPI assigned
- Apr 15, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 013838-23 | NH | Primary |
Addresses
Primary practice location
22 Prospect St
Nashua, NH 03060-3924
Mailing address
22 Prospect St
Nashua, NH 03060-3924
Phone (603) 883-1626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30342439 | Medicaid | NH |
Other names 1
- Mrs. Colette Douglas Tilton
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013838-23 | NH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1568636165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PROSPECT ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603924",
"telephone_number": "603-883-1626",
"fax_number": "603-881-9914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PROSPECT ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603924",
"telephone_number": "603-883-1626",
"fax_number": "603-881-9914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILTON",
"first_name": "COLETTE",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-15",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "013838-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30342439",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COLETTE",
"last_name": "TILTON",
"middle_name": "DOUGLAS",
"prefix": "MRS.",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.