MS. COLLEEN ELIZABETH TILLSON (NPI# 1790264000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790264000 |
| Entity Type | Individual |
| Full Name | MS. COLLEEN ELIZABETH TILLSON |
| Credential | MS, FNP-BC, CMSRN |
| Practice Address |
211 Church St Saratoga Springs NY 12866-1090 |
| Mailing Address |
5773 Lake Rd Galway NY 12074-2810 |
| Practice Telephone | 5185873222 |
| Mailing Telephone | 5184216544 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
343123 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
211 CHURCH ST |
| City | SARATOGA SPRINGS |
| State | NY |
| Zip Code | 12866-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225442 | James Edward Corwin | Family Medicine | 211 Church St, Saratoga Springs, NY 12866-1003 | 2005-06-15 |
| 1619587987 | Mark F Costello IIi | Physician Assistant | 211 Church St, Saratoga Springs, NY 12866-1090 | 2020-08-03 |
| 1578115432 | Elizabeth Bogovich | Nurse Practitioner | 211 Church St, Saratoga Springs, NY 12866-1090 | 2019-07-11 |
| 1811463102 | Jacquelyn Y White | Physician Assistant | 211 Church St, Saratoga Springs, NY 12866-1090 | 2018-10-15 |
| 1649756669 | Elizabeth Johnstone | Social Worker | 211 Church St, Saratoga Springs, NY 12866-1003 | 2018-07-12 |
| 1942718275 | Saratoga Hospital | Social Worker | 211 Church St, Saratoga Springs, NY 12866-1003 | 2018-01-22 |
| 1427561224 | Saara Johanson | Anesthesiology | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-11-15 |
| 1598277162 | Joanna Amelia Robben | Physician Assistant | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-11-03 |
| 1285159798 | Brian P. Mcdermott, D.o., P.C. | Internal Medicine | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-08-04 |
| 1346779873 | Talara Hedgpeth | Nurse Practitioner | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286247 | Rebecca Schiller | Occupational Therapy Assistant | 121 Lawrence St, Saratoga Springs, NY 12866 | 2020-08-17 |
| 1417597113 | Valerie June Andrascik | Physical Therapy Assistant | Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 | 2020-01-10 |
| 1790262749 | Sarah Leclerc | Psychologist | 1 Kempton Place, Saratoga Springs, NY 12866 | 2018-07-23 |
| 1386165454 | Kristina James | Speech-Language Pathologist | 88 Monroe St, Saratoga Springs, NY 12866 | 2017-06-29 |
| 1255799243 | Mary E Mccue | Dietitian, Registered | 683 Lake Ave, Saratoga Springs, NY 12866 | 2016-02-04 |
| 1982062261 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 377 Church Street, Saratoga, NY 12866 | 2016-02-02 |
| 1811353238 | Kristin Elizabeth Symmes | Registered Nurse | 135 South Broadway, Saratoga Springs, NY 12866 | 2016-01-14 |
| 1053707752 | Kaitlyn Lewis | Social Worker | 60 Geyser Road, Saratoga Springs, NY 12866 | 2015-04-09 |
| 1609264746 | Jessica Rose Leslie | Counselor | 79 Ash Street, Saratoga Springs, NY 12866 | 2014-12-23 |
| 1770990251 | Ranjit Bhagwat | Psychologist | 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 | 2014-07-17 |
| Find all providers in zip 12866 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285131003 | Maleah Marie Young | Nurse Practitioner | 3050 Route 50 Fl 2, Saratoga Springs, NY 12866-2958 | 2018-04-09 |
| 1043624737 | Kathy S. Rittenhouse | Nurse Practitioner | 1 West Ave., Suite 125, Saratoga Springs, NY 12866 | 2014-06-20 |
| 1043570468 | Patricia Mc Mahon Pugliese | Nurse Practitioner | 21 Sherwood Trl, Saratoga Springs, NY 12866-6147 | 2012-05-18 |
| 1851409478 | Deborah L Dittner | Nurse Practitioner | 6 Carpenter Ln, A Woman's View, Saratoga Springs, NY 12866-5521 | 2006-08-25 |
| 1437105269 | Sandra Miller | Nurse Practitioner | 252 W Kestrel Drive, Saratoga Springs, UT 84045-6010 | 2006-05-25 |
| 1881672079 | Colette Collins Blackington | Nurse Practitioner | 35 Myrtle Street, Suite 4, Saratoga Springs, NY 12866-1043 | 2006-01-06 |
| 1578115432 | Elizabeth Bogovich | Nurse Practitioner | 211 Church St, Saratoga Springs, NY 12866-1090 | 2019-07-11 |
| 1932769361 | Elle Np In Family Health, Pllc | Nurse Practitioner | 400 Church St, Saratoga Springs, NY 12866-8654 | 2019-06-18 |
| 1841720166 | Renee Barron | Nurse Practitioner | 30 Crescent Ave, Saratoga Springs, NY 12866-5142 | 2017-06-19 |
| 1346779873 | Talara Hedgpeth | Nurse Practitioner | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-06-08 |
| Find all providers in SARATOGA SPRINGS | ||||
| City | SARATOGA SPRINGS |
| Zip Code | 12866 |
Please comment or provide details below to improve the information on MS. COLLEEN ELIZABETH TILLSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.