Active NPI
Kristin Renee Colliver, CPRSS
- Peer Specialist
- Bartlesville, OK
National Provider Identifier
1760128250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 700 S Penn Ave
Bartlesville, OK 74003-3847 - Phone
- (918) 886-2544
- NPI assigned
- May 9, 2022
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
700 S Penn Ave
Bartlesville, OK 74003-3847
Mailing address
700 S Penn Ave
Bartlesville, OK 74003-3847
Phone (918) 886-2544
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": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1760128250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S PENN AVE",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740033847",
"telephone_number": "918-886-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S PENN AVE",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740033847",
"telephone_number": "918-886-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIVER",
"first_name": "KRISTIN",
"middle_name": "RENEE",
"credential": "CPRSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
- Linda K Colclasure, MSW, BHRS
- Brittany Suzanne Cole, B.S.
- Ronald Lee Coleman, MD
- Michael Ray Collins, M.D.
- Tahnisha Roja Collins
- Comforting Hands Hospice LLC.
- Community Health Center of Southeast Kansas Inc
- Community Health Center of Southeast Kansas, Inc.
- Jennifer L Conant, APRN
- Betty Breanna Conger
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.