Individual provider Active NPI

Colleen Lindo, CRNP

  • Primary Care Nurse Practitioner
  • Lutherville Timonium, MD
National Provider Identifier
1407543085
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R188706 Issued in MD
Practice address
1927 York Rd
Lutherville Timonium, MD 21093-4225
Phone
(443) 681-9893
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TPAN1785 FL
Family Nurse Practitioner 363LF0000X 0024188461 VA
Primary Care Nurse Practitioner 363LP2300X 13534537-4405 UT
Primary Care Nurse Practitioner 363LP2300X R188706 MD Primary

Addresses

Primary practice location

1927 York Rd
Lutherville Timonium, MD 21093-4225

Mailing address

1927 York Rd
Lutherville Timonium, MD 21093-4225
Phone (443) 681-9893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802000341 MD Practitioner - Nurse Practitioner 4688035090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TPAN1785FLMDFamily Nurse Practitioner
0024188461VAMDFamily Nurse Practitioner
R188706MDMDPrimary Care Nurse Practitioner
13534537-4405UTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Healing LLC Family CurrentSince Mar 17, 2024 Accepting new patients
JLJ Medical LLC CurrentSince Jun 11, 2023 Accepting new patients
JLJ Medical Limited Liabilty Company, Priority Care Clinics CurrentSince Jun 11, 2023 Accepting new patients
Priority Care Primary Care Clinics Past Accepting new patients

Locations

3500 Boston St
Baltimore, MD 21224
Phone (410) 522-0001

3500 Boston St
Ste J2
Baltimore, MD 21224
Phone (410) 522-0001

217 E Churchville Rd
Bel Air, MD 21014
Phone (410) 698-2665

3720 Washington Blvd
Ste 100
Halethorpe, MD 21227
Phone (410) 646-0001

5282 Campbell Blvd
Ste 1
Nottingham, MD 21236

550 Ritchie Hwy
Ste K
Severna Park, MD 21146
Phone (410) 646-0001

1927 York Rd
Timonium, MD 21093
Phone (410) 321-0808

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1407543085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 YORK RD",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934225",
            "telephone_number": "443-681-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 YORK RD",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934225",
            "telephone_number": "443-681-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDO",
        "first_name": "COLLEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-03-16",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN1785",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188461",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "13534537-4405",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R188706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

Verify at the official NPI Registry.