Individual provider Active NPI

Colleen Kotb, ANP

  • Adult Health Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1821408121
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024178731 Issued in VA
Practice address
2100 Washington Blvd FL 2
Arlington, VA 22204-5717
Phone
(703) 228-5644
Fax
(703) 228-5267
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN1006772 DC
Adult Health Nurse Practitioner 363LA2200X 0024178731 VA Primary

Addresses

Primary practice location

2100 Washington Blvd FL 2
Arlington, VA 22204-5717

Mailing address

2110 Washington Blvd Ste 350
Arlington, VA 22204-5713
Phone (703) 228-5644

Other practice location 1

40 Patterson St NE
Washington, DC 20002-3334
Phone (202) 354-1120

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

LicenseStateTypeSpecialty
RN1006772DCMDAdult Health Nurse Practitioner
0024178731VAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1821408121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 WASHINGTON BLVD STE 350",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045713",
            "telephone_number": "703-228-5644",
            "fax_number": "703-228-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WASHINGTON BLVD FL 2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045717",
            "telephone_number": "703-228-5644",
            "fax_number": "703-228-5267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Patterson St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023334",
            "country_code": "US",
            "telephone_number": "202-354-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTB",
        "first_name": "COLLEEN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN1006772",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024178731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.