Active NPI
Colleen A Timms, RD, LD
- Registered Dietitian
- Springfield, OH
National Provider Identifier
1942525696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L2150
- Practice address
- 2655 W National Rd
Springfield, OH 45504-3617 - Phone
- (937) 525-3067
- Fax
- (937) 505-4007
- NPI assigned
- Apr 6, 2010
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L2150 | OH | Primary |
Addresses
Primary practice location
2655 W National Rd
Springfield, OH 45504-3617
Mailing address
2655 W National Rd
Springfield, OH 45504-3617
Phone (937) 525-3067
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2150 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1942525696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 W NATIONAL RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455043617",
"telephone_number": "937-525-3067",
"fax_number": "937-505-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 W NATIONAL RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455043617",
"telephone_number": "937-525-3067",
"fax_number": "937-505-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMS",
"first_name": "COLLEEN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-06",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "L2150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.