Active NPI
Colleen Ann East, R.N.
- Military Hospital
- Deltona, FL
National Provider Identifier
1619234721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- RN9203452
- Practice address
- 2960 Fifer Dr
Deltona, FL 32738-1309 - Phone
- (386) 341-2822
- NPI assigned
- Apr 13, 2012
- Last updated
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Military Hospital | 286500000X | RN9203452 | FL | Primary |
Addresses
Primary practice location
2960 Fifer Dr
Deltona, FL 32738-1309
Mailing address
2960 Fifer Dr
Deltona, FL 32738-1309
Phone (386) 341-2822
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9203452 | FL | MD | Military Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1619234721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 FIFER DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327381309",
"telephone_number": "386-341-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 FIFER DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327381309",
"telephone_number": "386-341-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAST",
"first_name": "COLLEEN",
"middle_name": "ANN",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "FL",
"license": "RN9203452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.