Lisa Renee Collins, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6681 Issued in KY

Practice address

2212 Rutledge Ave
Lexington, KY 40509-8681

Phone

(859) 559-8511

NPI assigned

Apr 2, 2007

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

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St Claire Medical Center, Inc.,

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1821168535
  Medicare reassignment NPD
• St Claire Medical Center, Inc

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1477236487
  NPD
• St Claire Regional Radiology Physicians Services

  • Diagnostic Radiology Physician
  • Morehead, KY
  • NPI 1710987508
  NPD
• St. Claire Medical Center, Inc

  • Rural Health Clinic/Center
  • Frenchburg, KY
  • NPI 1265493993
  NPD
• St. Claire Medical Center, Inc

  • Family Medicine Physician
  • Morehead, KY
  • NPI 1326009044
  NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1063533685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 RUTLEDGE AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098681",
            "telephone_number": "859-559-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 RUTLEDGE AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098681",
            "telephone_number": "859-559-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W. Collins, M.D.
• Joseph Collins
• Katelyn Beth Collins
• Kendra Ann Collins, NP
• Kyra L Collins
• Madison Baylee Collins
• Meranda Katherine Collins, MSSW , CSW
• Nickolas Ray Collins, D.O
• Parker A Collins
• Raevonne Collins

• Dentist in Lexington, KY
• Providers in Lexington, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.