NPIMap

Individual provider Active NPI

Kelly A Colonello, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1952396442
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP2071 Issued in AZ
Practice address
10197 N 92ND St
Ste 101
Scottsdale, AZ 85258-4560
Phone
(480) 993-2950
Fax
(480) 993-2957
NPI assigned
Sep 12, 2005
Last updated
Jun 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP2071 AZ Primary

Addresses

Primary practice location

10197 N 92ND St
Ste 101
Scottsdale, AZ 85258-4560

Mailing address

1760 E River Rd
Suite 350
Tucson, AZ 85718-5877
Phone (520) 519-7775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000722 AZ Practitioner - Nurse Practitioner 5496704736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians

Practice addresses (Care Compare)

1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 467-2145

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Perinatal Services, LLC Women's Health CurrentSince Aug 1, 2024 Accepting new patients
Alium Health Past Accepting new patients
Fetal and Women's Center of Arizona, LLC PastSince Aug 1, 2024 Accepting new patients

Locations

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195

13555 W McDowell Rd
Ste 200
Goodyear, AZ 85395
Phone (480) 750-0095

2242 W Southern Ave
Mesa, AZ 85202
Phone (480) 491-1600

3811 E Bell Rd
Ste 312
Phoenix, AZ 85032
Phone (602) 494-2991

9305 W Thomas Rd
Ste 150
Phoenix, AZ 85037
Phone (623) 889-0411

7425 E Shea Blvd
Ste 107
Scottsdale, AZ 85260
Phone (480) 750-0095

9440 E Ironwood Square Dr
Ste 101
Scottsdale, AZ 85258
Phone (480) 306-8195

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19610/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelly.colonello.1@20219.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1952396442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E RIVER RD",
            "address_2": "SUITE 350",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185877",
            "telephone_number": "520-519-7775",
            "fax_number": "520-519-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10197 N 92ND ST",
            "address_2": "STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584560",
            "telephone_number": "480-993-2950",
            "fax_number": "480-993-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLONELLO",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP2071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.