Individual provider Active NPI

Llaselle Colson, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1912357856
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340048 Issued in NY
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 305-2500
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340048 NY Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-2500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161108002372 NY Practitioner - Nurse Practitioner 7719266196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340048NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 15, 2016 Accepting new patients
Montefiore Medical Center CurrentSince Sep 15, 2016 Accepting new patients

Locations (25 of 32)

250 Thurman Munson Way
Rm 236
Bronx, NY 10451
Phone (718) 401-6483

2300 Westchester Ave
Bronx, NY 10462
Phone (718) 409-8000

1449 Shakespeare Ave
Bronx, NY 10452
Phone (332) 244-8055

500 E Fordham Rd
Bronx, NY 10458
Phone (718) 329-1276

800 E Gun Hill Rd
Bronx, NY 10467
Phone (347) 326-8488

3010 Briggs Ave
Bronx, NY 10458
Phone (718) 563-5263

1600 Webster Ave
Bronx, NY 10457
Phone (718) 295-5180

2400 Marion Ave
Bronx, NY 10458
Phone (718) 584-5275

2780 Reservoir Ave
Bronx, NY 10468
Phone (718) 329-8589

1980 Lafayette Ave
Bronx, NY 10473
Phone (718) 794-7070

730 Concourse Vlg W
Bronx, NY 10451
Phone (718) 292-7204

450 Saint Pauls Pl
#55
Bronx, NY 10456

57 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 920-5406

977 Fox St
Bronx, NY 10459
Phone (718) 617-4449

1110 Boston Rd
Bronx, NY 10456
Phone (718) 860-2515

240 E 172nd St
Bronx, NY 10457
Phone (718) 293-9569

3000 E Tremont Ave
Bronx, NY 10461
Phone (718) 430-6375

1861 Anthony Ave
Bronx, NY 10457
Phone (718) 583-6444

3710 Barnes Ave
Bronx, NY 10467
Phone (718) 237-7690

111 E 210th St
Bronx, NY 10467

701 Saint Anns Ave
Bronx, NY 10455
Phone (718) 402-7618

925 Astor Ave
Bronx, NY 10469
Phone (718) 293-9569

1619 Boston Rd
Bronx, NY 10460
Phone (718) 589-1590

3961 Hillman Ave
Bronx, NY 10463
Phone (718) 548-3451

3332 Rochambeau Ave
Bronx, NY 10467
Phone (718) 920-5520

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: llsantia@montefioredirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1912357856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLSON",
        "first_name": "LLASELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.