Active NPI
Nicole Coletti, ARNP
- Family Medicine Physician
- Casselberry, FL
National Provider Identifier
1871276873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- APRN11025157
- Practice address
- 1991 E Lake Dr
Casselberry, FL 32707-4132 - Phone
- (407) 952-1706
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | APRN11025157 | FL | Primary |
Addresses
Primary practice location
1991 E Lake Dr
Casselberry, FL 32707-4132
Mailing address
1991 E Lake Dr
Casselberry, FL 32707-4132
Phone (407) 952-1706
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11025157 | FL | MD | Family Medicine Physician |
Interoperability endpoints
- nicole.coletti.1@31553.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1871276873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 E LAKE DR",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327074132",
"telephone_number": "407-952-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 E LAKE DR",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327074132",
"telephone_number": "407-952-1706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLETTI",
"first_name": "NICOLE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "APRN11025157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casselberry, FL
- Clinical Connections LLC
- Clinical Connections Targeted Case Management
- Barbara Ann Cloues, PHD
- Coast Florida P.a.
- Sabrina L Coleman, M.A., CCC/SLP
- Milton Collins El, LCSW
- Collins Orthopedic Lab Inc
- Divvia-Clyne Ashley Collins, BCABA
- Comfortable Care Dental Health Professionals
- Community Flourishing Initiative
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.