Brian Maurice Collins, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001177581 Issued in VA

Practice address

6481 Heather Way
Prince George, VA 23875-2680

Phone

(804) 452-1168

Fax

(804) 452-1838

NPI assigned

Oct 22, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• My Father'S House,LLC

  • Home Health Agency
  • Prince George, VA
  • NPI 1508049040
  NPD (past) Authorized official

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1073702460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6481 HEATHER WAY",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752680",
            "telephone_number": "804-452-1168",
            "fax_number": "804-452-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6481 HEATHER WAY",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752680",
            "telephone_number": "804-452-1168",
            "fax_number": "804-452-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BRIAN",
        "middle_name": "MAURICE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001177581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Virginia Health Services Inc
• Dale Marie Chatman, LPC
• Carol Jean Cherich, LPC-LADAC
• Frank Chilli, PA-C
• Pamela R Clarke, DNP, MSN, APRN, FNPC
• Columbia/HCA John Randolph, Inc.
• Commonwealth of Virginia State Board of Health
• Core Care Community Services
• Core Care Wellness Services LLC
• Morgan L Cox

• Registered Nurse in Prince George, VA
• Providers in Prince George, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.