Individual provider Active NPI

Abigayle Idora Colon, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Russell Springs, KY
National Provider Identifier
1629698485
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014571 Issued in KY
Practice address
542 Steve Dr
Russell Springs, KY 42642-4601
Phone
(270) 858-3636
Fax
(270) 858-3660
NPI assigned
Apr 22, 2020
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3014571 KY
Family Nurse Practitioner 363LF0000X 3014571 KY Primary

Addresses

Primary practice location

542 Steve Dr
Russell Springs, KY 42642-4601

Mailing address

PO Box 645996
Cincinnati, OH 45264-5996
Phone (270) 651-4444

Other practice location 1

197 Will Walker Rd
Columbia, KY 42728-7436
Phone (270) 384-9981

Other practice location 2

1704 W Stockton St
Edmonton, KY 42129-8137
Phone (270) 432-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210120002784 KY Practitioner - Nurse Practitioner 0547674277 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T J Health Columbia IncGroup PAC ID 7113224783, shared by 10 NPIs, 43 clinicians

Practice addresses (Care Compare)

542 Steve Dr
Russell Springs, KY 42642-4601
Phone (270) 858-3636

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
T J Health Columbia Inc Family Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Jan 18, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 15, 2024 Accepting new patients
T J Health Columbia Inc CurrentSince Oct 1, 2024 Accepting new patients
T J Health Columbia Inc CurrentSince Oct 1, 2024 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Jan 18, 2021 Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753

1704 W Stockton St
Edmonton, KY 42129
Phone (270) 432-3111

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

542 Steve Dr
Russell Springs, KY 42642
Phone (270) 858-3636

150 N Highway 27
Somerset, KY 42503
Phone (606) 485-1021

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1629698485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645996",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452645996",
            "telephone_number": "270-651-4444",
            "fax_number": "270-651-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 STEVE DR",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424601",
            "telephone_number": "270-858-3636",
            "fax_number": "270-858-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Will Walker Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "KY",
            "postal_code": "427287436",
            "country_code": "US",
            "telephone_number": "270-384-9981",
            "fax_number": "270-384-9989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1704 W Stockton St",
            "address_purpose": "LOCATION",
            "city": "Edmonton",
            "state": "KY",
            "postal_code": "421298137",
            "country_code": "US",
            "telephone_number": "270-432-4800",
            "fax_number": "270-432-4804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "ABIGAYLE",
        "middle_name": "IDORA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3014571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell Springs, KY

Sources for this page

Verify at the official NPI Registry.