Individual provider Active NPI

Colleen Wright Hopkins, NP

  • Family Nurse Practitioner
  • Johns Creek, GA
National Provider Identifier
1568756237
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
358619-4405 Issued in UT
Practice address
1030 Matheson Way
Johns Creek, GA 30022-5514
Phone
(404) 601-1276
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 358619-3102 UT
Registered Nurse 163W00000X 590969 CA
Critical Care Medicine Registered Nurse 163WC0200X 205609 CO
Family Nurse Practitioner 363LF0000X 20738 CA
Family Nurse Practitioner 363LF0000X 57901 ID
Family Nurse Practitioner 363LF0000X 159373 MT
Family Nurse Practitioner 363LF0000X 825513 NV
Family Nurse Practitioner 363LF0000X 45695 WY
Family Nurse Practitioner 363LF0000X 990426 CO
Family Nurse Practitioner 363LF0000X 358619-4405 UT Primary

Addresses

Primary practice location

1030 Matheson Way
Johns Creek, GA 30022-5514

Mailing address

1030 Matheson Way
Johns Creek, GA 30022-5514
Phone (404) 601-1276

Other identifiers 1

IdentifierTypeStateIssuer
29124778MedicaidCO

Other names 1

  • Ms. Colleen Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140429001799 CO Practitioner - Nurse Practitioner 9638302599
I20180406001929 UT Practitioner - Nurse Practitioner 9638302599 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20738CAMDChiropractor
590969CAMDRegistered Nurse
358619-3102UTMDRegistered Nurse
205609COMDCritical Care Medicine Registered Nurse
990426COMDFamily Nurse Practitioner
57901IDMDFamily Nurse Practitioner
159373MTMDFamily Nurse Practitioner
825513NVMDFamily Nurse Practitioner
358619-4405UTMDFamily Nurse Practitioner
45695WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Feb 28, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Feb 28, 2018 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

7302 S Bingham Junction Blvd
Midvale, UT 84047
Phone (801) 442-3300

Interoperability endpoints

  • Direct secure messaging: colleen.wright.1@14940.direct.athenahealth.com
  • Direct secure messaging: colleen.wright.1@17164.direct.athenahealth.com
  • Direct secure messaging: colleen.wright@sfhc.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1568756237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MATHESON WAY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300225514",
            "telephone_number": "404-601-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MATHESON WAY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300225514",
            "telephone_number": "404-601-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "COLLEEN",
        "middle_name": "WRIGHT",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "358619-3102",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "590969",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CO",
            "license": "205609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20738",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "57901",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "159373",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "825513",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "45695",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "990426",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "358619-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29124778",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "WRIGHT",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.