Individual provider Active NPI

Colleen G Tennyson, MD

  • Psychiatry Physician
  • Harrisonburg, VA
National Provider Identifier
1710038443
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101240302 Issued in VA
Practice address
80 Bluestone Dr
MSC 0801
Harrisonburg, VA 22807-1023
Phone
(540) 568-6552
Fax
(540) 568-8096
NPI assigned
Jan 16, 2007
Last updated
Mar 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101240302 VA Primary

Addresses

Primary practice location

80 Bluestone Dr
MSC 0801
Harrisonburg, VA 22807-1023

Mailing address

80 Bluestone Dr
MSC 0801
Harrisonburg, VA 22807-1023
Phone (540) 568-6552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101240302VAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1710038443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BLUESTONE DR",
            "address_2": "MSC 0801",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228071023",
            "telephone_number": "540-568-6552",
            "fax_number": "540-568-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BLUESTONE DR",
            "address_2": "MSC 0801",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228071023",
            "telephone_number": "540-568-6552",
            "fax_number": "540-568-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNYSON",
        "first_name": "COLLEEN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101240302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.