NPIMap

Individual provider Active NPI

Kathryn Collette, CRNP

  • Family Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1235652306
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R220774 Issued in MD
Practice address
12502 Willowbrook Rd Ste 660
Cumberland, MD 21502-6579
Phone
(240) 964-8760
Fax
(240) 964-8769
NPI assigned
Jul 20, 2017
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R220774 MD Primary
Registered Nurse 163W00000X R220774 MD

Addresses

Primary practice location

12502 Willowbrook Rd Ste 660
Cumberland, MD 21502-6579

Mailing address

12502 Willowbrook Rd Ste 660
Cumberland, MD 21502-6579
Phone (240) 964-8760

Other names 1

  • Kathryn Huber Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathryn.e.collette@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171220002654 MD Practitioner - Nurse Practitioner 8820356801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12502 Willowbrook Rd
Suite 660
Cumberland, MD 21502-6579
Phone (240) 964-8760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Oct 29, 2017 Accepting new patients
Upmc Western Maryland Corporation Current Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Oct 29, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-8724

12502 Willowbrook Rd
Ste 580
Cumberland, MD 21502
Phone (301) 723-4218

12502 Willowbrook Rd
Ste 660
Cumberland, MD 21502
Phone (240) 964-8760

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

Interoperability endpoints

  • Direct secure messaging: kcollette62816@upmc.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1235652306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD STE 660",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026579",
            "telephone_number": "240-964-8760",
            "fax_number": "240-964-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD STE 660",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026579",
            "telephone_number": "240-964-8760",
            "fax_number": "240-964-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETTE",
        "first_name": "KATHRYN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R220774",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R220774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathryn.e.collette@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HUBER",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.