Jessica Anne Collie

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1142 Willagillespie Rd # 9
Eugene, OR 97401-2142

Phone

(541) 666-3652

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1013565670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 MORSE AVE",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269906",
            "telephone_number": "541-870-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 WILLAGILLESPIE RD # 9",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012142",
            "telephone_number": "541-666-3652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 Morse Ave",
            "address_purpose": "LOCATION",
            "city": "Creswell",
            "state": "OR",
            "postal_code": "974269906",
            "country_code": "US",
            "telephone_number": "541-870-8201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLIE",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemberly Coley
• Nancy A Colfer, D.C.
• Eric Earl Colgrove, M.D.
• Collective Elements Psychotherapy LLC
• College Hill Rehab Center LLC
• Scott N Colling, P.T.
• William Bateman Collinge, MSW, PHD, LCSW
• Lisette Collings, PA-C
• Matthew Steven Collins, DMD
• Nathaniel J Collins, PA C

• Behavior Technician in Eugene, OR
• Providers in Eugene, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.