Active NPI
Susan Kay Kollmann, RN
- Developmentally Disabled Services Day Training Agency
- Casper, WY
National Provider Identifier
1003960600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 22036
- Practice address
- 1020 Saint Mary St
Casper, WY 82601-1227 - Phone
- (307) 234-1104
- Fax
- (307) 234-1104
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 22036 | WY | Primary |
Addresses
Primary practice location
1020 Saint Mary St
Casper, WY 82601-1227
Mailing address
1020 Saint Mary St
Casper, WY 82601-1227
Phone (307) 234-1104
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22036 | WY | MD | Developmentally Disabled Services Day Training Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003960600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 SAINT MARY ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826011227",
"telephone_number": "307-234-1104",
"fax_number": "307-234-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 SAINT MARY ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826011227",
"telephone_number": "307-234-1104",
"fax_number": "307-234-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLMANN",
"first_name": "SUSAN",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "WY",
"license": "22036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.