Individual provider Active NPI

Colleen Sanders Alford, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1649735671
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3660 Issued in HI
Practice address
735 Bishop St Ste 414
Honolulu, HI 96813-4824
Phone
(808) 217-0129
NPI assigned
Feb 4, 2019
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3660 HI Primary
Registered Nurse 163W00000X 761063 CA

Addresses

Primary practice location

735 Bishop St Ste 414
Honolulu, HI 96813-4824

Mailing address

735 Bishop St Ste 414
Honolulu, HI 96813-4824
Phone (808) 888-5683

Other practice location 1

2355 State Street Ste 101
Salem, OR 97301-4824
Phone (808) 888-5683

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

State licenses

LicenseStateTypeSpecialty
761063CAMDRegistered Nurse
3660HIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Matters LLC Psychiatric/Mental Health CurrentSince Oct 9, 2022 Accepting new patients

Locations

735 Bishop St
Ste 414
Honolulu, HI 96813
Phone (808) 217-0129

Organizations & group practices 1

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1649735671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 BISHOP ST STE 414",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134824",
            "telephone_number": "808-888-5683",
            "fax_number": "808-888-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 BISHOP ST STE 414",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134824",
            "telephone_number": "808-217-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 STATE STREET STE 101",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973014824",
            "country_code": "US",
            "telephone_number": "808-888-5683",
            "fax_number": "808-888-5683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFORD",
        "first_name": "COLLEEN",
        "middle_name": "SANDERS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-11-13",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "3660",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "761063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.