Nancy L Colley

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

6223 Beechmont Blvd
Orlando, FL 32808-2317

Phone

(407) 780-0585

NPI assigned

May 28, 2008

Last updated

Jun 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1952569741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 BEECHMONT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328082317",
            "telephone_number": "407-780-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 BEECHMONT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328082317",
            "telephone_number": "407-780-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEY",
        "first_name": "NANCY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693265796",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693265798",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• College Optical Express FL Inc.
• College Park Chiropractic
• College Park Community Acupuncture & Herbal Medicine
• Jennifer Collet, ARNP
• Paola Colletti Acosta
• Isis Collier
• Michael David Collier, LCSW
• Tara Collingwood, RD, CSSD, LDN
• Amanda Hester Collins, APRN
• Andrea Collins

• Intellectual & Developmental Disabilities Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Intellectual & Developmental Disabilities Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.