Individual provider Active NPI

Colleen Marie Thornton, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1760717193
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
230554 Issued in AK
Practice address
2925 Debarr Rd Ste 300
Anchorage, AK 99508-2974
Phone
(907) 279-3155
Fax
(907) 279-3154
NPI assigned
Oct 2, 2009
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 230554 AK Primary

Addresses

Primary practice location

2925 Debarr Rd Ste 300
Anchorage, AK 99508-2974

Mailing address

2925 Debarr Rd Ste 300
Anchorage, AK 99508-2974
Phone (907) 279-3155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AOH@directaddress.net Alaska Oncology and Hematology LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250206003339 AK Practitioner - Physician Assistant 2365583366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Oncology and Hematology LLCGroup PAC ID 0648265090, 6 clinicians

Practice addresses (Care Compare)

2925 Debarr Rd
Suite 300
Anchorage, AK 99508-2974
Phone (907) 279-3155

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1760717193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 DEBARR RD STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082974",
            "telephone_number": "907-279-3155",
            "fax_number": "907-279-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 DEBARR RD STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082974",
            "telephone_number": "907-279-3155",
            "fax_number": "907-279-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "230554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AOH@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Alaska Oncology and Hematology LLC",
            "address_1": "2925 DeBarr Rd Ste 300",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995082974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.