Collin D. Cullen, M.D., LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COLLIN D. CULLEN, M.D., LLC

Practice address

5410 Connecticut Ave NW Ste 117
Washington, DC 20015-2831

Phone

(301) 502-8702

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Collin D. Cullen, MDNPI 1689769523

Title

Physician

Phone

(301) 502-8702

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Collin Dempsey Cullen, MD

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1689769523
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1952869984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 CONNECTICUT AVE NW STE 117",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152831",
            "telephone_number": "301-502-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 CONNECTICUT AVE NW STE 117",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152831",
            "telephone_number": "301-502-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN D. CULLEN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-502-8702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Collier
• Otha Collier
• Rashida Collier
• Shannon Collier, POSTPARTUM DOULA
• Shavon Collier
• Eboni Collington, LPC
• Latrice Collington
• Phyllis Collins Marable
• Lauren Collins-Chase, FNP-C, MSN-FNP, MPH
• Fallon L Collins-Julien, DC

• Primary Care Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Primary Care Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.