Individual provider Active NPI

Colleen E. Hallinan, RN-BC

  • Primary Care Clinic/Center
  • Pocatello, ID
National Provider Identifier
1245591080
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
N-26828 Issued in ID
Practice address
444 Hospital Way
Suite 801
Pocatello, ID 83201-2745
Phone
(208) 232-6214
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X N-26828 ID Primary

Addresses

Primary practice location

444 Hospital Way
Suite 801
Pocatello, ID 83201-2745

Mailing address

5752 W Skiview Dr
Pocatello, ID 83204-7314
Phone (208) 775-3105

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

LicenseStateTypeSpecialty
N-26828IDMDPrimary Care Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1245591080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5752 W SKIVIEW DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832047314",
            "telephone_number": "208-775-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY",
            "address_2": "SUITE 801",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012745",
            "telephone_number": "208-232-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLINAN",
        "first_name": "COLLEEN",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "RN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ID",
            "license": "N-26828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.