Jefflyn Boryonnoh Kollie

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN.483512 Issued in OH

Practice address

4085 Elaine CT
Columbus, OH 43227-5603

Phone

(253) 331-0595

NPI assigned

Dec 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1609471093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 ELAINE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432275603",
            "telephone_number": "253-331-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 ELAINE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432275603",
            "telephone_number": "253-331-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLIE",
        "first_name": "JEFFLYN",
        "middle_name": "BORYONNOH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.483512",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN.483512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laine Kolesar, LSW
• Susan L Koletar, MD
• William Kolhoff
• Maria Vasilia Kolias
• Albert J. Kolibash, M.D.
• Nadja Kolliesuah
• Jennifer Renee Kollker, NP
• Cheryl Elaine Kollman, NP
• Raghu Kolluri, M.D.
• Nicholas Leonard Kolodychuk, MD

• Home Health Registered Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.