Active NPI
Kolin M Craig, CRM
- Peer Specialist
- Pendleton, OR
National Provider Identifier
1689288227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 46314 Timine Way
Pendleton, OR 97801-9417 - Phone
- (541) 966-9830
- Fax
- (541) 240-8754
- NPI assigned
- Sep 1, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
46314 Timine Way
Pendleton, OR 97801-9417
Mailing address
PO Box 160
Pendleton, OR 97801-0160
Phone (541) 966-9830
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | LINDAHETTINGA@YELLOWHAWK.ORG |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1689288227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978010160",
"telephone_number": "541-966-9830",
"fax_number": "541-240-8754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46314 TIMINE WAY",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978019417",
"telephone_number": "541-966-9830",
"fax_number": "541-240-8754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "KOLIN",
"middle_name": "M",
"credential": "CRM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-01",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "LINDAHETTINGA@YELLOWHAWK.ORG",
"affiliation": "N",
"endpointDescription": "WORK EMAIL",
"address_1": "46314 Timine Way",
"city": "Pendleton",
"state": "OR",
"country_code": "US",
"postal_code": "978019417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.