Active NPI
Crista Kollmann, AGPCNP
- Gerontology Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1518384353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- COA.15706-NP
- Practice address
- 7685 Beechmont Ave
Cincinnati, OH 45255-4216 - Phone
- (513) 232-0011
- Fax
- (513) 232-8434
- NPI assigned
- Mar 18, 2014
- Last updated
- Mar 18, 2014
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | COA.15706-NP | OH | Primary |
Addresses
Primary practice location
7685 Beechmont Ave
Cincinnati, OH 45255-4216
Mailing address
237 William Howard Taft Rd
2ND Floor, Cbo2-3, Attn: Credentialing
Cincinnati, OH 45219-2610
Phone (513) 263-8551
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.15706-NP | OH | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1518384353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 WILLIAM HOWARD TAFT RD",
"address_2": "2ND FLOOR, CBO2-3, ATTN: CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192610",
"telephone_number": "513-263-8551",
"fax_number": "513-366-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7685 BEECHMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452554216",
"telephone_number": "513-232-0011",
"fax_number": "513-232-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLMANN",
"first_name": "CRISTA",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-18",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "COA.15706-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.