Active NPI
Lisa Doreen Colon
- Community/Behavioral Health Agency
- New Smyrna Beach, FL
National Provider Identifier
1760522262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 311 N Orange St
New Smyrna Beach, FL 32168-6733 - Phone
- (386) 416-1040
- Fax
- (386) 416-1037
- NPI assigned
- Feb 7, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
311 N Orange St
New Smyrna Beach, FL 32168-6733
Mailing address
1220 Willis Ave
Daytona Beach, FL 32114-2810
Phone (386) 416-1023
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760522262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 WILLIS AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142810",
"telephone_number": "386-416-1023",
"fax_number": "386-416-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N ORANGE ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321686733",
"telephone_number": "386-416-1040",
"fax_number": "386-416-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "LISA",
"middle_name": "DOREEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
- Cheryl Lou Coleman, MA, CCC-SLP
- Joshua Chase Coleman, DMD
- Lauren N Collins
- Meaghn Michelle Collins, RN
- Teresita Collins
- Comfortable Care Dental Health Professionals, P.a. (Hammock Gardens Dental Care)
- Complete Cardiology Care Inc
- Kimberly Lyons Conlon, PT, DPT
- Timothy Scott Connell II, BCBA
- Kirk Conrow, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.