MS. KRISTIN KELLIE MCCOLLY (NPI# 1699938613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699938613 |
| Entity Type | Individual |
| Full Name | MS. KRISTIN KELLIE MCCOLLY |
| Credential | FNP-BC |
| Practice Address |
146 Scale Road Hinsdale MT 59241 |
| Mailing Address |
146 Scale Rd Hinsdale MT 59241-9614 |
| Practice Telephone | 4066485432 |
| Practice Fax Number | 4066485430 |
| Mailing Telephone | 4066485432 |
| Mailing Fax Number | 4066485430 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26721 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 9902750 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 440 W Laurel Ave, Plentywood, MT 592541526 | 4067653718 | 4067651081 |
| Street Address |
146 SCALE ROAD |
| City | HINSDALE |
| State | MT |
| Zip Code | 59241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838507 | Tatiana Nicole Duchak | Counselor | 115 S Vine St, Hinsdale, IL 60521-4083 | 2020-10-09 |
| 1770199861 | Hana Yoo | Marriage & Family Therapist | 201 E Ogden Ave Ste 217, Hinsdale, IL 60521-3612 | 2020-09-23 |
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1063024925 | Mindful Psychiatric Care LLC | Psychiatry & Neurology | 120 E Ogden Ave Ste 101, Hinsdale, IL 60521-3892 | 2020-08-20 |
| 1417569641 | Ash A Eldifrawi | Psychologist | 564 N Elm St, Hinsdale, IL 60521-3502 | 2020-08-19 |
| 1396357737 | Emily Pagone Counseling, Pllc | Counselor | 910 S Adams St, Hinsdale, IL 60521-4382 | 2020-08-18 |
| 1770192130 | Justin Davis Goldman | Psychologist | 15 Spinning Wheel Rd Ste 406, Hinsdale, IL 60521-5400 | 2020-07-30 |
| 1124645411 | Illinois Bone and Joint Institute LLC | Occupational Therapist | 550 W Ogden Ave Ste 200, Hinsdale, IL 60521-3187 | 2020-07-02 |
| 1568088268 | Helen Fylstra | Social Worker | 309 E 59th St, Hinsdale, IL 60521-5002 | 2020-06-18 |
| 1437779477 | Keith Campion | Student in an Organized Health Care Education/Training Program | 5554 S Monroe St, Hinsdale, IL 60521-5162 | 2020-04-20 |
| Find all providers in HINSDALE | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313674 | Jolene K Manuyag | Nurse Practitioner | 12 Salt Creek Ln Ste 425, Hinsdale, IL 60521-8603 | 2020-03-27 |
| 1861032245 | Kenneth Dale Restor | Nurse Practitioner | 15 Spinning Wheel Rd Ste 30, Hinsdale, IL 60521-7651 | 2020-01-13 |
| 1164998332 | Leslie Greskowiak | Nurse Practitioner | 8 Salt Creek Ln Ste 301, Hinsdale, IL 60521-2903 | 2018-10-15 |
| 1336697234 | Laura Greco | Nurse Practitioner | 736 N York Rd Unit 2n, Hinsdale, IL 60521-3535 | 2016-09-20 |
| 1548646243 | Danielle Roach | Nurse Practitioner | 109 Symonds Dr, #578, Hinsdale, IL 60521-3763 | 2015-08-04 |
| 1770925141 | Juliet George | Nurse Practitioner | 15 Salt Creek Ln Ste 111, Hinsdale, IL 60521-2962 | 2013-07-25 |
| 1871583179 | Jeanine Harshbarger | Nurse Practitioner | 119 E Ogden Ave, Hinsdale, IL 60521-3590 | 2005-10-27 |
| 1457966079 | Alla Dubenets | Nurse Practitioner | 907 N Elm St Ste 101, Hinsdale, IL 60521-3644 | 2020-09-10 |
| 1407468853 | Anthony Richard Bell | Nurse Practitioner | 120 N Oak St, Hinsdale, IL 60521-3829 | 2020-08-18 |
| 1780214718 | Suman Gowda Shaw | Nurse Practitioner | 907 N Elm St Ste 101, Hinsdale, IL 60521-3644 | 2020-01-17 |
| Find all providers in HINSDALE | ||||
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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.