Individual provider Active NPI

Colleen Lyn Saunders, N.P.

  • Primary Care Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1861417917
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
8755 Issued in CA
Practice address
320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5138
Phone
(760) 944-7300
Fax
(760) 633-3949
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 526954 CA
Nurse Practitioner 363L00000X 8755 CA
Primary Care Nurse Practitioner 363LP2300X 8755 CA Primary

Addresses

Primary practice location

320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5138

Mailing address

320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5138
Phone (760) 944-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040608000559 CA Practitioner - Nurse Practitioner 4183607567 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Diego Cardiovascular Associates Medical Group IncGroup PAC ID 0840270757, 15 clinicians

Practice addresses (Care Compare)

320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5179
Phone (760) 944-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
526954CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightened Healthcare Alliance Medical Corporation CurrentSince Mar 1, 2020 Accepting new patients
North County Inpatient Medical Alliance, a Medical Group, Inc CurrentSince Jan 14, 2022 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients
Premier Surgical Partners Inc Past Accepting new patients
Encinitas Palliative Care Associates, Inc. Past Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients

Locations

320 Santa Fe Dr
Ste 107C
Encinitas, CA 92024
Phone (760) 230-8994

320 Santa Fe Dr
Ste 204
Encinitas, CA 92024
Phone (760) 753-1104

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

662 Encinitas Blvd
Ste 204
Encinitas, CA 92024
Phone (760) 203-5545

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

Interoperability endpoints

  • Direct secure messaging: csaunders250596@scrippshlth.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1861417917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR",
            "address_2": "SUITE 204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245138",
            "telephone_number": "760-944-7300",
            "fax_number": "760-633-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR",
            "address_2": "SUITE 204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245138",
            "telephone_number": "760-944-7300",
            "fax_number": "760-633-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "COLLEEN",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "526954",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "8755",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "8755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.