Kellie Collins, A.R.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP1946582 Issued in FL

Practice address

4516 SW Yamada Dr
Port St Lucie, FL 34953-8518

Phone

(772) 336-2161

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: collins.kellie.mgh@direct.partners.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atrius Health, Inc.

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1114265634
  NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1871639914
  NPD
• General Hospital Corp

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1508390014
  NPD
• Hope Health & Wellness Inc

  • Multi-Specialty Clinic/Center
  • West Palm Beach, FL
  • NPI 1437347176
  NPD (past)
• Hope Health and Wellness Inc

  • Multi-Specialty Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1497920771
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1013026517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 SW YAMADA DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349538518",
            "telephone_number": "772-336-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 SW YAMADA DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349538518",
            "telephone_number": "772-336-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KELLIE",
        "credential": "A.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1946582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP1946582",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Collica, LMT
• Colliers at Port St. Lucie Opco, LLC
• Alan Steven Collin, MD
• Berjan Collin, MD
• John R Collins, D.O,
• Tiana Collins
• Ruth E. Colon-Curet
• Sandra Jaffe Colvett, ARNP
• Comfort Care Home Inc
• Comfortable Care Dental Health Professionals, P.a.

• Family Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.