Individual provider Active NPI

Richard Earl Collins, CRNA

  • Certified Registered Nurse Anesthetist
  • Northport, AL
National Provider Identifier
1053343665
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-039702 Issued in AL
Practice address
2700 Hospital Dr
Northport, AL 35476-3360
Phone
(205) 759-7352
Fax
(205) 759-6397
NPI assigned
Jul 6, 2006
Last updated
Nov 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-039072 AL
Certified Registered Nurse Anesthetist 367500000X 1-039702 AL Primary

Addresses

Primary practice location

2700 Hospital Dr
Northport, AL 35476-3360

Mailing address

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7352

Other identifiers 1

IdentifierTypeStateIssuer
038805OtherALAMERICAN ASSOCIATION OF NURSE ANESTHETISTS (CERTIFICATION)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050124000569 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072563550 Reassigns benefits to 4 organizations
I20210125001131 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072563550 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-039072ALMDRegistered Nurse
1-039702ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Eye Surgery Center LLC Current Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 14, 2017 Accepting new patients
Southern Eye Surgery and Laser Center, LLC CurrentSince Nov 20, 2021 Accepting new patients
Blue Lake Health Alabama, LLC CurrentSince Jun 27, 2023 Accepting new patients
Anesthesiologists Associated PC CurrentSince Jun 27, 2017 Accepting new patients
Southern Eye Surgery Center LLC CurrentSince Nov 20, 2021 Accepting new patients
Vision Correction Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 16, 2004 Accepting new patients
Vision Correction Center, LLC Current Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 4, 2021 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2017 Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

2720 University Blvd
Birmingham, AL 35233
Phone (205) 581-5380

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228

1406 McFarland Blvd N
Ste 2B
Tuscaloosa, AL 35406
Phone (205) 248-0095

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

1420 S 28th Ave
Hattiesburg, MS 39402
Phone (601) 264-3937

1710 W 12th St
Laurel, MS 39440
Phone (601) 369-2021

1001 14th St
Meridian, MS 39301
Phone (601) 482-9224

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

9140 Highway 51 N
Southaven, MS 38671
Phone (662) 280-8222

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1053343665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7352",
            "fax_number": "205-759-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HOSPITAL DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763360",
            "telephone_number": "205-759-7352",
            "fax_number": "205-759-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "RICHARD",
        "middle_name": "EARL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-039072",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-039702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF NURSE ANESTHETISTS (CERTIFICATION)",
            "identifier": "038805",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.