Colleen M Enos, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00432 Issued in TX

Practice address

11111 Research Blvd #475
Austin, TX 78759-5283

Phone

(512) 338-8181

Fax

(512) 338-8366

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: colleen.enos.1@15777.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Texas Health Action

  • Public Health & General Preventive Medicine Physician
  • Austin, TX
  • NPI 1366266363
  Medicare reassignment
• Pulmonary & Critical Care Consultants of Austin, L.L.P.

  • Pulmonary Disease Physician
  • Austin, TX
  • NPI 1861412322
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1801802178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26726",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787550726",
            "telephone_number": "512-407-8686",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD #475",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595283",
            "telephone_number": "512-338-8181",
            "fax_number": "512-338-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOS",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183298201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183298204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183298203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyrsten Alexis Engstrom, LCSW
• Marysa Enis, M.ED, S.SP, LSSP
• Enlighten Counseling and Therapy Services PLLC
• Enlighten Holistic Health With Kitty Woo Ham, FNP
• Enlightened Chiropractic, Inc
• Enrich Mobility Services LLC
• Bianca Noelle Enriquez
• Erin M Enriquez, DNP, CPNP-AC/PC
• Humberto Silverio Enriquez, MD
• Luis Fernando Enriquez, MD

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.