Individual provider Active NPI

Natasha Chantay Coleburn, PA-C

  • Physician Assistant
  • Hartford, CT
National Provider Identifier
1578906731
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002906 Issued in CT
Practice address
85 Seymour St Ste 125B
Hartford, CT 06106-5501
Phone
(860) 263-4100
NPI assigned
Apr 8, 2013
Last updated
May 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002906 CT Primary

Addresses

Primary practice location

85 Seymour St Ste 125B
Hartford, CT 06106-5501

Mailing address

85 Seymour St Ste 125B
Hartford, CT 06106-5501

Other identifiers 1

IdentifierTypeStateIssuer
002906OtherCTLICENSE

Other names 1

  • Natasha Coleburn-Bassil Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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
I20130816000198 CT Practitioner - Physician Assistant 3274775572 Reassigns benefits to 1 organization
I20180208001112 NY Practitioner - Physician Assistant 3274775572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 696-4306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2906CTMDProfessional Counselor
002906CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Nov 15, 2025 Accepting new patients
Symphony Medical PC CurrentSince Nov 1, 2024 Accepting new patients
Auburn Community Hospital CurrentSince Oct 27, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Nov 15, 2025 Accepting new patients
St. John's Riverside Hospital Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

85 Seymour St
Ste 125B
Hartford, CT 06106
Phone (860) 263-4100

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1578906731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 125B",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 125B",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-263-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEBURN",
        "first_name": "NATASHA",
        "middle_name": "CHANTAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "002906",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "COLEBURN-BASSIL",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.