Active NPI
Colleen Lane, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Erdenheim, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP020930
- Practice address
- 717 Bethlehem Pike Ste 300
Erdenheim, PA 19038-8117 - Phone
- (215) 233-2425
- NPI assigned
- Oct 7, 2019
- Last updated
- Feb 11, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP020930 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health and Dental Care, Inc | Current | Accepting new patients | |
| Community Health and Dental Care, Inc | Current | Accepting new patients | |
| HR Physician Services | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Pottstown, PA
- NPI 1295994341
-
- Federally Qualified Health Center (FQHC)
- Boyertown, PA
- NPI 1548034663
-
dba Redeemer Behavioral Health
- Child & Adolescent Psychiatry Physician
- Huntingdon Valley, PA
- NPI 1205500188
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.