Active NPI
Heidi Colley
- Licensed Practical Nurse
- Leadville, CO
National Provider Identifier
1740702190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN.0037942
- Practice address
- 112 W 5TH St
Leadville, CO 80461-3510 - Phone
- (719) 486-2413
- Fax
- (719) 486-4168
- NPI assigned
- Jul 7, 2017
- Last updated
- Jul 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.0037942 | CO | Primary |
Addresses
Primary practice location
112 W 5TH St
Leadville, CO 80461-3510
Mailing address
PO Box 626
Leadville, CO 80461-0626
Phone (719) 486-2413
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN.0037942 | CO | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake County Government | Past | Accepting new patients | |
| Lake County Government | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Lake County Public Health Agency
- Public Health or Welfare Agency
- Leadville, CO
- NPI 1427493824
-
dba LAKE COUNTY PUBLIC HEALTH Agency
- Public Health or Welfare Agency
- Leadville, CO
- NPI 1851411458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499385600000",
"number": "1740702190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 626",
"city": "LEADVILLE",
"state": "CO",
"postal_code": "804610626",
"telephone_number": "719-486-2413",
"fax_number": "719-486-4168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W 5TH ST",
"city": "LEADVILLE",
"state": "CO",
"postal_code": "804613510",
"telephone_number": "719-486-2413",
"fax_number": "719-486-4168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLEY",
"first_name": "HEIDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2017-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CO",
"license": "PN.0037942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leadville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.