Active NPIIndividual providerSole proprietor

Mrs. Theodora Colburn, BA BS RN

Registered Nurse, Nurse Massage Therapist (NMT) in Jamaica Plain, Massachusetts

NPI Number1508111964
Practice location
38 Olmstead St, Jamaica Plain, MA 02130-2910
Fax
617-083-5610
Last updated
July 20, 2012

Theodora Colburn is a Registered Nurse, Nurse Massage Therapist (NMT) based in Jamaica Plain, MA. Theodora Colburn practices in Jamaica Plain, MA and has the professional credentials of BA BS RN. The NPI Number for Theodora Colburn is 1508111964 and holds a License No. RN118502 (MA). The current practice location address for Theodora Colburn is 38 Olmstead St, Jamaica Plain, MA 02130-2910 and can be reached out via phone at 617-514-1515 and via fax at 617-083-5610.

Provider Profile Details

NPI Number
1508111964
Provider Name
Theodora Colburn
Credential
BA BS RN
Provider Entity Type
Individual
Gender
Female
Address
38 Olmstead St, Jamaica Plain, MA 02130-2910
Phone Number
617-514-1515
Fax Number
617-083-5610
Sole Proprietor
Yes
Provider Enumeration Date
July 20, 2012
Last Update Date
July 20, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
38 Olmstead St
Jamaica Plain, MA 02130-2910
Zip
02130-2910
Phone Number
617-514-1515
Fax Number
617-083-5610
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
38 Olmstead Street
Jamaica Plain, MA 02130
City
Jamaica Plain
State
MA
Zip
02130
Phone Number
617-514-1515
Fax Number
617-083-5610

License Information

License Number (1)
RN118502
License State (1)
MA
Taxonomy (1)
Registered Nurse, Nurse Massage Therapist (NMT) · 163WM1400X · Primary
License Number (2)
RN118502
License State (2)
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Theodora Colburn, BA BS RN?

The NPI number of Mrs. Theodora Colburn, BA BS RN is 1508111964. It was assigned on July 20, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Theodora Colburn, BA BS RN?

Mrs. Theodora Colburn, BA BS RN is registered under the primary taxonomy Registered Nurse, Nurse Massage Therapist (NMT) (code 163WM1400X), licensed in MA under license number RN118502.

Where does Mrs. Theodora Colburn, BA BS RN practice?

The practice location is 38 Olmstead St, Jamaica Plain, MA 02130-2910. The office can be reached at 617-514-1515 (phone) or 617-083-5610 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508111964 directly on the NPPES registry website.

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