Colleen Roberts, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

202009562NP-PP Issued in OR

Practice address

2800 SW 257TH Drive
Troutdale, OR 97060

Phone

(503) 667-7711

Fax

(503) 669-8328

NPI assigned

Nov 25, 2020

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

Other names 1

• Colleen Finnerty Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: colleen.roberts@211256354537476.direct.elationemr.com

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.

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  Medicare reassignment NPD
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  NPD
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  NPD

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1972107373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SW 257TH DRIVE",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "97060",
            "telephone_number": "503-667-7711",
            "fax_number": "503-669-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SW 257TH DRIVE",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "97060",
            "telephone_number": "503-667-7711",
            "fax_number": "503-669-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "COLLEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202009562NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "FINNERTY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shereen Reynolds
• Douglas Alan Rial, D.C.
• Sheila Irene Richardson, PHARMD, BCPS
• Eric Rimkus, RPH
• Dania Rivas, NBC-HWC
• Jaci Lavon Roe
• Abra Rogers, CPM
• Mackenzie Rohrbacher
• Ruport Rehab and Performance LLC
• James Ruport

• Family Nurse Practitioner in Troutdale, OR
• Providers in Troutdale, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.