Colleen Ingrid Rita Nanton, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0004446 Issued in MD

Practice address

3460 Old Washington Rd
Suite 300
Waldorf, MD 20602-3240

Phone

(301) 645-1523

Fax

(301) 645-6812

NPI assigned

Apr 27, 2011

Last updated

Feb 21, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

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.

• Newbridge Spine and Pain Center LLC

  • Specialist
  • Frederick, MD
  • NPI 1790921450
  NPD (past)

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1962793810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "301-645-1523",
            "fax_number": "301-645-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 OLD WASHINGTON RD",
            "address_2": "SUITE 300",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023240",
            "telephone_number": "301-645-1523",
            "fax_number": "301-645-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANTON",
        "first_name": "COLLEEN",
        "middle_name": "INGRID RITA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghislaine Nana Fankem
• Anish Nanavati
• Uday B Nanavaty, MD
• Tyjia Nance
• Sailaja Nandipati
• National Rehabiliation Hospital, Inc (Medstar Health Physical Therapy)
• National Rehabilitation Hospital, Inc. (MedStar Health Physical Therapy at Waldorf Pembrooke Square)
• National Rehabilitation Hospital, Inc. (MedStar Health Physical Therapy at Waldorf Marketplace)
• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• Sandra Navarra

• Medical Physician Assistant in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.