Kathleen Lynn Collier, OMT

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1545 J St
Bedford, IN 47421-3839

Phone

(812) 583-6565

NPI assigned

Nov 9, 2022

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

State licenses

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1124736020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 30TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215416",
            "telephone_number": "812-583-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 J ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213839",
            "telephone_number": "812-583-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "KATHLEEN",
        "middle_name": "LYNN",
        "credential": "OMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IN",
            "license": "13006702A",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Chastain-McDowell, MA CCC A
• Margaret Chastain
• Vickie Lynn Cheek, NP-C
• Geneva Clark, RBT
• Penny Jo Clark, PT
• Judith Collins, M.T.
• Jennifer Leighanne Cooper
• Sara Lehr Corry, MA, LMHC, CCTP
• Elise Coryell
• Mickayla Crane, RBT

• All providers in Bedford, IN
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.