Shirley Ann Collins, RN,WCC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9339472 Issued in FL

Practice address

414 SW 140TH Ter Ste 170
Newberry, FL 32669-5432

Phone

(877) 281-1593

Fax

(352) 354-1542

NPI assigned

May 11, 2023

Last updated

May 17, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Mobile Wound Care Services, LLC

  • Nursing Care Agency
  • Newberry, FL
  • NPI 1992496343
  NPD Authorized official

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1093405086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SW 140TH TER STE 170",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326695432",
            "telephone_number": "877-281-1593",
            "fax_number": "352-354-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SW 140TH TER STE 170",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326695432",
            "telephone_number": "877-281-1593",
            "fax_number": "352-354-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "credential": "RN,WCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9339472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cipolla, ARNP
• City of Newberry
• Chanelle Clark
• Clifford Henry Clemons
• Clinical Solutions of North Florida, Inc.
• Community Rehab and Wellness, PLLC (Nexus Physical Therapy)
• Comprehensive Healthcare Alliance, LLC
• Comprehensive Retina Consultants PLLC
• Sara Braley Copeland, DNP, ARNP, IBCLC
• Karah Nicole Cotter, OT

• Registered Nurse in Newberry, FL
• Providers in Newberry, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.