Organization Active NPI

Cheryl a Colletti DO PLLC

  • Family Medicine Physician
  • Jackson, MI
National Provider Identifier
1891975348
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHERYL A COLLETTI DO PLLC
Practice address
517 Wildwood Ave
Jackson, MI 49201-1094
Phone
(517) 787-6779
Fax
(517) 787-6794
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Cheryl A Colletti, DO
Title
Physician
Phone
(517) 787-6779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

517 Wildwood Ave
Jackson, MI 49201-1094

Mailing address

517 Wildwood Ave
Jackson, MI 49201-1094
Phone (517) 787-6779

National Provider Directory

National Provider Directory

Locations

517 Wildwood Ave
Jackson, MI 49201
Phone (517) 787-0395

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1891975348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011094",
            "telephone_number": "517-787-6779",
            "fax_number": "517-787-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011094",
            "telephone_number": "517-787-6779",
            "fax_number": "517-787-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL A COLLETTI DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "COLLETTI",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "517-787-6779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.