Richard Nicholas Colon, PEER SUPPORT SPECIAL

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

575 Issued in ND

Practice address

12272 106TH St NE
Walhalla, ND 58282-9519

Phone

(504) 919-5625

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1629801055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12272 106TH ST NE",
            "city": "WALHALLA",
            "state": "ND",
            "postal_code": "582829519",
            "telephone_number": "504-919-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12272 106TH ST NE",
            "city": "WALHALLA",
            "state": "ND",
            "postal_code": "582829519",
            "telephone_number": "504-919-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "RICHARD",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "PEER SUPPORT SPECIAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "ND",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cavalier County Memorial Hospital Association (Langdon Prairie Hospital)
• Beverly J Clairmont, R.PH.
• Spencer E Clairmont, R.PH. ,FELLOW, ASCP
• Sharon Lynn Heidler, M.S.
• Karla N Parkes, PLLC (The Little Frontier Clinic)
• Mary Lafferty
• Stephanie Lafferty
• Shanon S Lene, PT, DPT

• Peer Specialist in Walhalla, ND
• Providers in Walhalla, ND by specialty
• Peer Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.