Kristeen Marie Colby, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

010105 Issued in NY

Practice address

354 Broadway
Saranac Lake, NY 12983-1146

Phone

(518) 897-1000

Fax

(518) 897-2128

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/aeb798ea-59c0-4b01-80ca-75ffd22a2d37/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adirondack Medical Center

  • Surgery Physician
  • Saranac Lake, NY
  • NPI 1871359000
  NPD
• H. Charles-Harris MD PA

  • Surgery Physician
  • Miami, FL
  • NPI 1821167693
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902958911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MARGARET ST # B",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831468",
            "telephone_number": "518-891-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 BROADWAY",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831146",
            "telephone_number": "518-897-1000",
            "fax_number": "518-897-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "KRISTEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citizen Advocates Inc
• Sharain Clark
• Janice Hutta Cogar, R.N.
• Jody Morgan Cogar, MSW
• Katie Colbert
• Angela Dulac Cook, CCMP, CRANIO THERAPY
• Elisabeth Cottom, PHARM. D.
• Virginia Lee Cuttaia, RN
• Tomas Julius Cyvas
• Timothy Czelusniak Serviss, CASAC

• Physician Assistant in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.