Active NPI
Colleen T Pierce, APN
- Primary Care Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP022379
- Practice address
- 3400 Civic Center Blvd
Philadelphia, PA 19104-5127 - Phone
- (215) 590-2754
- NPI assigned
- Jan 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ00883900 | NJ | |
| Primary Care Nurse Practitioner | 363LP2300X | SP022379 | PA | Primary |
Addresses
Primary practice location
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Mailing address
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00883900 | NJ | MD | Primary Care Nurse Practitioner |
| SP022379 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Healthcare Associates of New Jersey PC | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Advocare, LLC | Current | Accepting new patients | |
| Childen'S Health Care Associates Inc. | Current | Accepting new patients | |
| Childens Health Care Associates of New Jersey PC | Current | Accepting new patients | |
| Advocare , LLC | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Childrens Health Care Associates of New Jersey PC | Current | Accepting new patients | |
| Children'S Surgical Associates LTD | Past | Accepting new patients |
Locations
169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717
123 Egg Harbor Rd
Ste 206
Sewell, NJ 08080
Phone (856) 227-5437
1012 Laurel Oak Rd
Voorhees, NJ 08043
Phone (856) 435-0086
481 John Young Way
Exton, PA 19341
Phone (610) 524-9885
819 Baltimore Pike
Glen Mills, PA 19342
Phone (267) 425-8500
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
3401 Civic Center Blvd
#M975
Philadelphia, PA 19104
3500 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-2169
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
Organizations & group practices 9
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.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
-
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
-
- Pediatric Allergy/Immunology Physician
- Philadelphia, PA
- NPI 1720173776
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Voorhees, NJ
- NPI 1467547471
-
- Pediatric Hematology & Oncology Physician
- Voorhees, NJ
- NPI 1508951526
-
- Pediatric Surgery Physician
- Philadelphia, PA
- NPI 1760562581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1902379142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-590-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "COLLEEN",
"middle_name": "T",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-10",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ00883900",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP022379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.