KELSEY RENEE COLLIN (NPI# 1164050563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164050563 |
| Entity Type | Individual |
| Full Name | KELSEY RENEE COLLIN |
| Credential | PA |
| Practice Address |
750 Highland Ave Madison WI 53705-2221 |
| Practice Telephone | 8473405084 |
| Mailing Telephone | 8473405084 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
750 HIGHLAND AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53705-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619511706 | Nicole Frakes | Physician Assistant | 750 Highland Ave, Madison, WI 53705-2221 | 2019-10-31 |
| 1861099350 | Chiadika Nwanze | Student in an Organized Health Care Education/Training Program | 750 Highland Ave, Madison, WI 53705-2221 | 2020-10-07 |
| 1518582923 | Amber Peterson | Student in an Organized Health Care Education/Training Program | 750 Highland Ave, Madison, WI 53705-2221 | 2020-06-11 |
| 1558980516 | Katie Sherman | Student in an Organized Health Care Education/Training Program | 750 Highland Ave, Madison, WI 53705-2221 | 2020-04-10 |
| 1871121160 | Mariglen Gjoni | Physician Assistant | 750 Highland Ave, Madison, WI 53705-2221 | 2020-03-31 |
| 1538797816 | Margaret Gray Wilson | Student in an Organized Health Care Education/Training Program | 750 Highland Ave, Madison, WI 53705-2221 | 2020-03-31 |
| 1609404177 | Katelyn Lobnow | Student in an Organized Health Care Education/Training Program | 750 Highland Ave, Madison, WI 53705-2221 | 2020-03-31 |
| 1033747480 | Danielle Kollpainter | Student in an Organized Health Care Education/Training Program | 750 Highland Ave, Madison, WI 53705-2221 | 2020-03-31 |
| 1184252504 | Lauren Ashley Pederson | Student in an Organized Health Care Education/Training Program | 750 Highland Ave, Madison, WI 53705-2221 | 2020-03-31 |
| 1497383178 | Jesse Wang | Student in an Organized Health Care Education/Training Program | 750 Highland Ave, Madison, WI 53705-2221 | 2020-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204442 | Stephanie Copeland | Student in an Organized Health Care Education/Training Program | 2508 Castor Ln, Madison, IN 47250-2496 | 2020-10-26 |
| 1275130213 | Najla Ba Sharahil | Student in an Organized Health Care Education/Training Program | 600 Highland Avenue University of Wisconsin Hospitals A, Office H4/466, Madison, WI 53792-4108 | 2020-10-02 |
| 1992319321 | Caraline Putnam Walker | Student in an Organized Health Care Education/Training Program | 186 Forest Lake Dr, Madison, MS 39110-9428 | 2020-09-02 |
| 1902416969 | Cynthia Iradukunda | Student in an Organized Health Care Education/Training Program | University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 | 2020-08-05 |
| 1215551932 | Kirsten Mccullough | Student in an Organized Health Care Education/Training Program | Uw Health University Hospital 600 Highland Ave, Madison, WI 53792-0001 | 2020-05-29 |
| 1467073783 | David Pontes | Student in an Organized Health Care Education/Training Program | 4906 Odana Rd, Madison, WI 53711-1337 | 2020-04-27 |
| 1154941672 | Olawale Temitope Oduru | Student in an Organized Health Care Education/Training Program | 600 Highland Ave. Uw Hospitals & Clinics, Madison, WI 53792-0001 | 2020-04-24 |
| 1730708298 | Raha Amini | Student in an Organized Health Care Education/Training Program | 470 Fairfield Dr, Madison, MS 39110-7543 | 2020-04-14 |
| 1306465026 | Allison Blumenfeld | Student in an Organized Health Care Education/Training Program | Uw Hospital & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-13 |
| 1205465291 | Jennifer A Mirrielees | Student in an Organized Health Care Education/Training Program | Uw Hospital 600 Highland Avenue, Madison, WI 53792-0001 | 2020-04-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.