Marissa Ortega Colangelo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201902800RN Issued in OR

Practice address

2315 11TH St
North Bend, OR 97459-2102

Phone

(916) 402-0743

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1578170668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 11TH ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592102",
            "telephone_number": "916-402-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 11TH ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592102",
            "telephone_number": "916-402-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANGELO",
        "first_name": "MARISSA",
        "middle_name": "ORTEGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201902800RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Claflin
• Shawna Rebecca Clark
• Coastal Diagnostic Testing Group LLC
• Coastal Medical Services LLC
• Heather M Coates
• Brandon Coleman
• Karen Collell, PHARMD
• Christina Lee Colo, O.T.R./L
• Columbiacare Services
• Columbiacare Services Inc (Pony Creek Board and Care)

• Registered Nurse in North Bend, OR
• Providers in North Bend, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.