Active NPI
Colorful Journey Telepsychiatry, L.L.C.
- Psychiatric/Mental Health Nurse Practitioner
- Tallahassee, FL
National Provider Identifier
1740043876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- COLORFUL JOURNEY TELEPSYCHIATRY, L.L.C.
- Practice address
- 113 South Monroe Street
1St Floor
Tallahassee, FL 32301 - Phone
- (850) 775-9345
- NPI assigned
- Feb 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claire Joy Tiglad, DNP, APRN
- Title
- Psychiatric Mental Health Nurse Pra
- Phone
- (850) 775-9345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
113 South Monroe Street
1St Floor
Tallahassee, FL 32301
Mailing address
113 South Monroe Street
1St Floor
Tallahassee, FL 32301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14101 Panama City Beach Pkwy
Fl 3
Panama City Beach, FL 32413
Phone (904) 712-5158
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Panama City Beach, FL
- NPI 1205289469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706745600000",
"number": "1740043876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 SOUTH MONROE STREET",
"address_2": "1ST FLOOR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 SOUTH MONROE STREET",
"address_2": "1ST FLOOR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32301",
"telephone_number": "850-775-9345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLORFUL JOURNEY TELEPSYCHIATRY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"status": "A",
"authorized_official_last_name": "TIGLAD",
"authorized_official_first_name": "CLAIRE",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NURSE PRA",
"authorized_official_telephone_number": "850-775-9345",
"authorized_official_credential": "DNP, APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.