Colonial Beach Health & Wellness Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COLONIAL BEACH HEALTH & WELLNESS INC

Practice address

1101A Heatherstone Dr
Fredericksburg, VA 22407-4828

Phone

(540) 388-1744

NPI assigned

Dec 21, 2019

Organization subpart

No

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

Authorized official

Name

Brian Card

Title

Director

Phone

(571) 238-6622

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20651/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1770122723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MCKINNEY BLVD STE 1100",
            "city": "COLONIAL BEACH",
            "state": "VA",
            "postal_code": "224431934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101A HEATHERSTONE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074828",
            "telephone_number": "540-388-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL BEACH HEALTH & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-21",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "CARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "571-238-6622"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth L Collins, LCSW
• Camille Heather Collins, NP
• Kevin Collins, RBT
• Vanessa Collins, SLP
• Chrystie Colon, MT
• Colonial Internal Medicine Associates PC
• Paul M. Colopy, MD
• Paul Marvin Colton, PMHNP-BC
• Cassie Colvin
• Comfort Medical Supply, Inc. (Comfort Medical Supply)

• Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.