Individual provider Active NPI

Colleen Lane, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Erdenheim, PA
National Provider Identifier
1326689753
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP020930 Issued in PA
Practice address
717 Bethlehem Pike Ste 300
Erdenheim, PA 19038-8117
Phone
(215) 233-2425
NPI assigned
Oct 7, 2019
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP020930 PA Primary

Addresses

Primary practice location

717 Bethlehem Pike Ste 300
Erdenheim, PA 19038-8117

Mailing address

908 Elmway Cir
Blue Bell, PA 19422-3422
Phone (508) 527-5597

Other practice location 1

561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone (800) 235-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020930PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health and Dental Care, Inc CurrentSince Feb 11, 2021 Accepting new patients
Community Health and Dental Care, Inc CurrentSince Feb 11, 2021 Accepting new patients
HR Physician Services PastSince Aug 8, 2021 Accepting new patients

Locations

351 W Schuylkill Rd
Ste G15A
Pottstown, PA 19465
Phone (484) 948-3097

700 Heritage Dr
Ste 701
Pottstown, PA 19464
Phone 6103269460193

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1326689753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 ELMWAY CIR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223422",
            "telephone_number": "508-527-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 BETHLEHEM PIKE STE 300",
            "city": "ERDENHEIM",
            "state": "PA",
            "postal_code": "190388117",
            "telephone_number": "215-233-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "561 Fairthorne Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191282412",
            "country_code": "US",
            "telephone_number": "800-235-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "COLLEEN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP020930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erdenheim, PA

Sources for this page

Verify at the official NPI Registry.