Active NPI
Colby Aragon
- Athletic Trainer
- Rio Rancho, NM
National Provider Identifier
1962872820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 633
- Practice address
- 301 Loma Colorado Blvd NE
Rio Rancho, NM 87124-6523 - Phone
- (505) 330-7504
- NPI assigned
- Oct 4, 2015
- Last updated
- Oct 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 633 | NM | Primary |
Addresses
Primary practice location
301 Loma Colorado Blvd NE
Rio Rancho, NM 87124-6523
Mailing address
5370 San Mateo Blvd NE
Apt A07
Albuquerque, NM 87109-6265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 633 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443916800000",
"number": "1962872820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5370 SAN MATEO BLVD NE",
"address_2": "APT A07",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871096265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 LOMA COLORADO BLVD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871246523",
"telephone_number": "505-330-7504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARAGON",
"first_name": "COLBY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-04",
"last_updated": "2015-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.