Active NPI
Colleen Himan
- Family Nurse Practitioner
- Plainfield, IL
National Provider Identifier
1801972872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Practice address
- 24801 West 135TH Street
Plainfield, IL 60544 - Phone
- (866) 825-3227
- Fax
- (484) 351-3800
- NPI assigned
- Oct 31, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | IL | Primary |
Addresses
Primary practice location
24801 West 135TH Street
Plainfield, IL 60544
Mailing address
Eight Tower Bridge
161 Washington Street,Suite 1400
Conshohocken, PA 19428
Phone (484) 351-3200
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 |
|---|---|---|---|
| 209005884 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801972872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EIGHT TOWER BRIDGE",
"address_2": "161 WASHINGTON STREET,SUITE 1400",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "19428",
"telephone_number": "484-351-3200",
"fax_number": "484-351-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24801 WEST 135TH STREET",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "60544",
"telephone_number": "866-825-3227",
"fax_number": "484-351-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMAN",
"first_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.