Individual provider Active NPI

Kori Kollanda, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Simsbury, CT
National Provider Identifier
1891467700
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
NA Issued in CT
Practice address
90 Plank Hill Rd
Simsbury, CT 06070-2105
Phone
(860) 909-8008
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X NA CT Primary

Addresses

Primary practice location

90 Plank Hill Rd
Simsbury, CT 06070-2105

Mailing address

90 Plank Hill Rd
Simsbury, CT 06070-2105
Phone (860) 909-8008

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Practicebetter.com

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
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Central District Health Department CurrentSince Jul 24, 2022 Accepting new patients

Locations

31 N Main St
Enfield, CT 06082
Phone (860) 745-0383

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1891467700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PLANK HILL RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702105",
            "telephone_number": "860-909-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PLANK HILL RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702105",
            "telephone_number": "860-909-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLANDA",
        "first_name": "KORI",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CT",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Practicebetter.com",
            "affiliation": "N",
            "address_1": "90 Plank Hill Rd",
            "city": "Simsbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060702105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simsbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.