Amy Wilcox Colgan, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

644816 Issued in NY

Practice address

364 Center Rd
Pennellville, NY 13132

Phone

(315) 945-9006

NPI assigned

Jan 1, 2014

Last updated

Nov 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Amy Diane Wilcox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1388534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1861813313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 CENTER RD",
            "city": "PENNELLVILLE",
            "state": "NY",
            "postal_code": "13132",
            "telephone_number": "315-945-9006",
            "fax_number": "315-934-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 CENTER RD",
            "city": "PENNELLVILLE",
            "state": "NY",
            "postal_code": "13132",
            "telephone_number": "315-945-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGAN",
        "first_name": "AMY",
        "middle_name": "WILCOX",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-01",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "644816",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "644816-1",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "644816",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "644816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WILCOX",
            "middle_name": "DIANE",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darlene S Andrews, OTA
• Melisa A Aria, LPN
• Stephanie Jean Barankovich, LPN
• Debra Champouillon
• David B Hanford, R.PH.
• Alysia Hart, LPN
• Margaret Heitmann, LPN
• Wendy L Howard, LPN
• Jason Harland Kasten, LPN

• Registered Nurse in Pennellville, NY
• Providers in Pennellville, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.