Active NPI
Colleen Elizabeth Phalen
- Student in an Organized Health Care Education/Training Program
- Fall River, MA
National Provider Identifier
1982916722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- S30956172
- Practice address
- 1563 N Main St
Suite 202
Fall River, MA 02720-2983 - Phone
- (508) 324-0328
- Fax
- (508) 672-3619
- NPI assigned
- Jul 9, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | S30956172 | MA | Primary |
Addresses
Primary practice location
1563 N Main St
Suite 202
Fall River, MA 02720-2983
Mailing address
1563 N Main St
Suite 202
Fall River, MA 02720-2983
Phone (508) 324-0328
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 |
|---|---|---|---|
| S30956172 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1982916722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 N MAIN ST",
"address_2": "SUITE 202",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202983",
"telephone_number": "508-324-0328",
"fax_number": "508-672-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 N MAIN ST",
"address_2": "SUITE 202",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202983",
"telephone_number": "508-324-0328",
"fax_number": "508-672-3619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHALEN",
"first_name": "COLLEEN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "S30956172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.