Active NPI
Bettina Kolker-Cullinane, RN
- Case Manager/Care Coordinator
- Johnston, RI
National Provider Identifier
1295325900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- RN48166
- Practice address
- 1126 Hartford Ave
Johnston, RI 02919-7109 - Phone
- (401) 519-1940
- Fax
- (401) 351-6613
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | RN48166 | RI | Primary |
Addresses
Primary practice location
1126 Hartford Ave
Johnston, RI 02919-7109
Mailing address
1126 Hartford Ave
Johnston, RI 02919-7109
Phone (401) 519-1940
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN48166 | RI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1295325900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 HARTFORD AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029197109",
"telephone_number": "401-519-1940",
"fax_number": "401-351-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 HARTFORD AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029197109",
"telephone_number": "401-519-1940",
"fax_number": "401-351-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLKER-CULLINANE",
"first_name": "BETTINA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "RI",
"license": "RN48166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.