Colleen Mary Machado, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

VN 89517 Issued in CA

Practice address

880 Northcrest Dr
Crescent City, CA 95531-2313

Phone

(707) 464-3191

Fax

(707) 465-6701

NPI assigned

Jun 27, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of del Norte

  • Public Health or Welfare Agency
  • Crescent City, CA
  • NPI 1497872063
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1962798041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 NORTHCREST DR",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312313",
            "telephone_number": "707-464-3191",
            "fax_number": "707-465-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 NORTHCREST DR",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312313",
            "telephone_number": "707-464-3191",
            "fax_number": "707-465-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "COLLEEN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN 89517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Marie Lopez Gibson
• Chong Vang Lor
• Jenet Nichelle Lund
• Patricia Marie Lutfy, M.D.
• Kayla Lyon
• Debra Magana-Parsons
• Juanita Venecia Magardie, PHARMACIST
• Sara Attef Makar
• Lorama B Maloen, PH.D.
• David Marc Mandel, PH.D.

• Licensed Practical Nurse in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.