COLLEEN R FLEMING PMHNP NPI 1881027241

NPI Information

NPI: 1881027241
Provider Name: COLLEEN R FLEMING, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1090 W PARK PL
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 215-2005
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Colleen R Fleming, PMHNP is a psychiatric/mental health nurse practitioner in Coeur D Alene, ID with 12 years of experience. Colleen R Fleming, PMHNP NPI is 1881027241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1090 W PARK PL
COEUR D ALENE, ID
ZIP 83814-785
Phone: (208) 215-2005
Fax: (844) 807-3782

The NPI 1881027241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2013 and was last updated on 4/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1010095243	VERMONT	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	10935112	IDAHO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202201642NP-PP	OREGON	Yes
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	58380	IDAHO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2105313	MEDICAID	WASHINGTON
2	1881027241	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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