Colleen Chadderton, RNC, MSN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704105291 Issued in MI

Practice address

760 W Franklin St
Jackson, MI 49201-2048

Phone

(517) 780-9260

Fax

(517) 780-9263

NPI assigned

Jun 28, 2005

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: cchadderton443321@direct.hfhs.org

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.

• Center for Family Health

  • Family Medicine Physician
  • Jackson, MI
  • NPI 1043509557

  Pediatrics

  NPD (past)
• Center for Family Health

  • General Practice Dentistry
  • Jackson, MI
  • NPI 1255724027
  NPD (past)
• Center for Family Health

  • Federally Qualified Health Center (FQHC)
  • Jackson, MI
  • NPI 1366740342
  NPD (past)
• Center for Family Health

  • Federally Qualified Health Center (FQHC)
  • Jackson, MI
  • NPI 1497825939
  NPD (past)
• Center for Family Health

  • Federally Qualified Health Center (FQHC)
  • Jackson, MI
  • NPI 1679905376
  NPD (past)
• Center for Family Health

  • Community Health Clinic/Center
  • Jackson, MI
  • NPI 1700156999

  Pediatrics

  NPD (past)
• Center for Family Health

  • Federally Qualified Health Center (FQHC)
  • Jackson, MI
  • NPI 1710764410

  Pediatrics

  NPD (past)
• Center for Family Health

  • Federally Qualified Health Center (FQHC)
  • Jackson, MI
  • NPI 1922171479
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1972500536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W FRANKLIN ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012048",
            "telephone_number": "517-780-9260",
            "fax_number": "517-780-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 W FRANKLIN ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012048",
            "telephone_number": "517-780-9260",
            "fax_number": "517-780-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADDERTON",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "RNC, MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704105291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3200785-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN #",
            "identifier": "Q04418",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Family Health
• Center for Hematology-Oncology of S. Michigan
• Central Clinic, PC
• Centre for Family Medicine P.C.
• Melissa Cerqueira, LMSW
• Crystal Ann Chaffee, LLMSW
• Andrew Carl Chalfant, D.C.
• Lance Eric Chalfant, D.C.
• Shareen Challapalli
• Amy Lynn Chamberlain, ATC

• Pediatric Nurse Practitioner in Jackson, MI
• Providers in Jackson, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.