Kathie Ann Colville, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

755437 Issued in TX

Practice address

1901 Medi Park Dr Ste 2048
Amarillo, TX 79106-2109

Phone

(806) 353-2101

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Female

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Epic Health Services, Inc.

  dba Aveanna Healthcare

  • Home Health Agency
  • Amarillo, TX
  • NPI 1225343973
  NPD (past)
• Epic Health Services, Inc.

  dba Aveanna Heatlhcare

  • Home Health Agency
  • Houston, TX
  • NPI 1407922701
  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1689154882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FAIRWAY DR",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790151810",
            "telephone_number": "806-683-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2048",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062109",
            "telephone_number": "806-353-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVILLE",
        "first_name": "KATHIE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "755437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Colon
• Colorfully Caring
• Ashley Heather Colston, M.S., CCC-SLP
• Colton Mobile Healthcare PLLC (Bright Eyes Mobile Vision Services)
• Colton Vision PLLC (Bright Eyes Vision Clinic)
• Brennan Rhea Comer
• Linda Kay Comer, COTA
• Community Home Carers LLC
• Community Options, Inc.
• Community Options, Inc.

• Pediatric Registered Nurse in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.