Active NPI
Corey Elizabeth Kolln, LMT
- Massage Therapist
- Richland, WA
National Provider Identifier
1184758153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60955540
- Practice address
- 451 Sundance Dr
Richland, WA 99352-8625 - Phone
- (502) 849-8446
- NPI assigned
- Mar 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 11365 | OR | |
| Massage Therapist | 225700000X | 60955540 | WA | Primary |
Addresses
Primary practice location
451 Sundance Dr
Richland, WA 99352-8625
Mailing address
451 Sundance Dr
Richland, WA 99352-8625
Phone (502) 849-8446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225700000X | Other | WA | WASHINGTON STATE DEPT OF HEALTH |
| 60955540 | Other | WA | WASHINGTON STATE DEPT OF HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | coreykollnlmt@hotmail.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11365 | OR | MD | Contractor |
| 60955540 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1184758153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 SUNDANCE DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528625",
"telephone_number": "502-849-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 SUNDANCE DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528625",
"telephone_number": "502-849-8446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLN",
"first_name": "COREY",
"middle_name": "ELIZABETH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "11365",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60955540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPT OF HEALTH",
"identifier": "225700000X",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPT OF HEALTH",
"identifier": "60955540",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "coreykollnlmt@hotmail.com",
"affiliation": "N",
"address_1": "451 Sundance Dr",
"city": "Richland",
"state": "WA",
"country_code": "US",
"postal_code": "993528625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.