Theresa Ann Collins-Niemeyer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P27516 Issued in IA

Practice address

5005 Bowling St SW Ste C
Cedar Rapids, IA 52404-5070

Phone

(319) 531-3824

NPI assigned

Sep 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1104596329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 BOWLING ST SW STE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045070",
            "telephone_number": "319-531-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 BOWLING ST SW STE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045070",
            "telephone_number": "319-531-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS-NIEMEYER",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IA",
            "license": "P27516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theresa.collins-niemeyer@crtcprogams.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5005 Bowling St SW Ste C",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524045070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Alexander Louis Collins, L.M.T
• Cassandra J Collins, LMSW
• Jeannie Marie Collins, D.D.S.
• Linda F Collins, PHD
• Melinda Michele Collins, LMT

• Licensed Practical Nurse in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Licensed Practical Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.