Kristen Colchico, BS, MS, DOCTORATE

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

321 Golf Club Rd
Pleasant Hill, CA 94523-1544

Phone

(925) 286-8676

NPI assigned

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

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

Credentials

Bachelor of Science, Master of Science

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1639918584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CONDOR PL",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945171926",
            "telephone_number": "925-286-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GOLF CLUB RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231544",
            "telephone_number": "925-286-8676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Condor Pl",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "CA",
            "postal_code": "945171926",
            "country_code": "US",
            "telephone_number": "925-286-8676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLCHICO",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "BS, MS, DOCTORATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Worker in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Community Health Worker in California

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