Kimberly 'Kimmer' Verlynn Collison-Ris, MSN, ARNP, WOCN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30006553 Issued in WA

Practice address

16425 48TH Ave W
Suite 215
Lynnwood, WA 98037

Phone

(425) 210-4187

Fax

(425) 361-1704

NPI assigned

Apr 2, 2007

Last updated

Jul 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 3

Other names 1

• Ms. Kimmer V Collison-Ris Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectrum Care, PLLC

  dba Kimmer Collison-Ris FNP-BC, MS CAM

  • Family Nurse Practitioner
  • Lynnwood, WA
  • NPI 1053798546
  Authorized official Same address or phone

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1124149026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16425 48TH AVE W",
            "address_2": "SUITE 215",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98037",
            "telephone_number": "425-210-4187",
            "fax_number": "425-361-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16425 48TH AVE W",
            "address_2": "SUITE 215",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98037",
            "telephone_number": "425-210-4187",
            "fax_number": "425-361-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLISON-RIS",
        "first_name": "KIMBERLY 'KIMMER'",
        "middle_name": "VERLYNN",
        "name_prefix": "Ms.",
        "credential": "MSN, ARNP, WOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006553",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "WA",
            "license": "AP30006553",
            "primary": false
        },
        {
            "code": "364SH1100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": "WA",
            "license": "AP30006553",
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "WA",
            "license": "AP30006553",
            "primary": false
        },
        {
            "code": "364SP2800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perioperative",
            "state": "WA",
            "license": "AP30006553",
            "primary": false
        },
        {
            "code": "364SR0400X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": "WA",
            "license": "A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "5783CO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID # ALL OTHER INSURANCE",
            "identifier": "911950338",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID # & BLUE CROSS #",
            "identifier": "911950338",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMMER",
            "last_name": "COLLISON-RIS",
            "middle_name": "V",
            "prefix": "MS.",
            "credential": "MSN, ARNP, WOCN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Zadechia Parthenia Coleman
• College Place Orthodontics LLC
• David Christopher Collier, ARNP, FNP-BC
• Kaela Collins
• Lauren Collins, MSW
• Alexandra Comer
• Elisabeth Comer
• Community Health Acupuncture and Wellness Center (None)
• Community Health Center of Snohomish County
• Community Health Center of Snohomish County

• Family Nurse Practitioner in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.