Individual provider Active NPI

Colleen Ladina Irene Beaufils, APRN, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1699197046
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9699 Issued in AZ
Practice address
777 W Southern Ave Ste 501
Mesa, AZ 85210-5015
Phone
(480) 550-4048
Fax
(480) 264-5099
NPI assigned
Jan 19, 2014
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9699 AZ Primary

Addresses

Primary practice location

777 W Southern Ave Ste 501
Mesa, AZ 85210-5015

Mailing address

777 W Southern Ave Ste 501
Mesa, AZ 85210-5015
Phone (480) 550-4048

Other names 1

  • Colleen L Cox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161223000264 AZ Practitioner - Nurse Practitioner 1759509466 Reassigns benefits to 4 organizations
I20190624000411 TX Practitioner - Nurse Practitioner 1759509466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince May 26, 2019 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Dec 17, 2016 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince May 26, 2019 Accepting new patients
Native Health CurrentSince Dec 1, 2022 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Apr 4, 2022 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Apr 4, 2022 Accepting new patients
Native Health Current Accepting new patients
Native Health CurrentSince Dec 1, 2022 Accepting new patients
Dispatchhealth-Arizona CurrentSince Oct 1, 2021 Accepting new patients
Dispatchhealth-Arizona CurrentSince Oct 1, 2021 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

777 W Southern Ave
Ste 501
Mesa, AZ 85210
Phone (480) 550-4048

18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

4041 N Central Ave
Bldg C
Phoenix, AZ 85012
Phone (602) 679-5262

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

Interoperability endpoints

  • Direct secure messaging: colleen.cox.p1@direct.nachci.nextgenshare.com

Organizations & group practices 12

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": "1390089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1699197046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 W SOUTHERN AVE STE 501",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105015",
            "telephone_number": "480-550-4048",
            "fax_number": "480-264-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W SOUTHERN AVE STE 501",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105015",
            "telephone_number": "480-550-4048",
            "fax_number": "480-264-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUFILS",
        "first_name": "COLLEEN",
        "middle_name": "LADINA IRENE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-19",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "COX",
            "middle_name": "L",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.