JORGE ENRIQUE CELEDONIO COLQUICOCHA AGACNP-BC NPI 1386316628

NPI Information

  • NPI: 1386316628
  • Provider Name: JORGE ENRIQUE CELEDONIO COLQUICOCHA, AGACNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3601 THE VANDERBILT CLINIC
    NASHVILLE, TN
    ZIP 37232
  • Phone: (615) 322-3000

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NPI Details

Jorge Enrique Celedonio Colquicocha, AGACNP-BC is a gerontology nurse practitioner in Nashville, TN with 4 years of experience. Jorge Enrique Celedonio Colquicocha, AGACNP-BC NPI is 1386316628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232-011
Phone: (615) 322-3000

The NPI 1386316628 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 3/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse0000248465TENNESSEENo
2363LA2100XNurse PractitionerAcute Care30563TENNESSEENo
3363LG0600XNurse PractitionerGerontology30563TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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