MEDICARE: KATRINA LANEEN COLLINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	106S00000X	Behavior Technician	OH
2	374U00000X	Home Health Aide	OH
3	3747P1801X	Personal Care Attendant	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821504044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA LANEEN COLLINS

Provider Business Mailing Address
First Line	:	683 PARK AVE
Second Line	:	683 PARK AVE
City	:	CINCINNATI
State	:	OH
Zip	:	45246-2115
Country	:	US
Telephone Number	:	513-208-6255
Fax Number	:

Provider Business Practice Location Address
First Line	:	683 PARK AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-2115
Country	:	US
Telephone Number	:	513-208-6255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2017
Last Update Date	:	04/20/2026

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Directions to “ KATRINA LANEEN COLLINS ” Practice Location

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