Individual provider Active NPI

Roslinde Mary Collins-Gibbard, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Lebanon, NH
National Provider Identifier
1093736340
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
17362 Issued in NH
Practice address
One Medical Center Dr
Dartmouth Hitchcock - Critical Care Medicine
Lebanon, NH 03756
Phone
(603) 650-5120
NPI assigned
Jul 22, 2006
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17362 NH
Internal Medicine Physician 207R00000X 015629 ME
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 042-0011270 VT
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 17362 NH Primary
Pulmonary Disease Physician 207RP1001X 042-0011270 VT
Sleep Medicine (Internal Medicine) Physician 207RS0012X 042-0011270 VT
Sleep Medicine (Internal Medicine) Physician 207RS0012X 17362 NH

Addresses

Primary practice location

One Medical Center Dr
Dartmouth Hitchcock - Critical Care Medicine
Lebanon, NH 03756

Mailing address

One Medical Center Dr
Dartmouth Hitchcock - Critical Care Medicine
Lebanon, NH 03756
Phone (603) 650-5120

Other practice location 1

18 Old Etna Rd
Dartmouth Hitchcock - Sleep Medicine
Lebanon, NH 03766-1937
Phone (603) 653-1732

Other practice location 2

18 Old Etna Rd
Dartmouth Hitchcock - Sleep Medicine
Lebanon, NH 03766-1937
Phone (603) 653-1732

Other identifiers 2

IdentifierTypeStateIssuer
1013328MedicaidVT
3102915MedicaidNH

Other names 1

  • Dr. Roslinde Mary Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160304000409 NH Practitioner - Critical Care (Intensivists)Practitioner - Sleep MedicinePractitioner - Pulmonary DiseasePractitioner - Internal Medicine 3971545120 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015629MEMDInternal Medicine Physician
042-0011270VTMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Dartmouth-Hitchcock Clinic Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 1, 2016 Accepting new patients
Augusta Pulmonary Medicine, P.a. Pulmonary Disease PastSince Jun 1, 2006 Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

18 Old Etna Rd
Lebanon, NH 03766
Phone (603) 650-3100

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

Interoperability endpoints

  • Direct secure messaging: rcollinsgibbard1029676@direct.unitypoint.org
  • Direct secure messaging: rcollinsgibbard208629@direct.dartmouth-hitchcock.org
  • Direct secure messaging: rcollinsgibbard381971@direct.centracare.com

Organizations & group practices 5

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1093736340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DR",
            "address_2": "DARTMOUTH HITCHCOCK - CRITICAL CARE MEDICINE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03756",
            "telephone_number": "603-650-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DR",
            "address_2": "DARTMOUTH HITCHCOCK - CRITICAL CARE MEDICINE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03756",
            "telephone_number": "603-650-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Old Etna Rd",
            "address_2": "Dartmouth Hitchcock - Sleep Medicine",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037661937",
            "country_code": "US",
            "telephone_number": "603-653-1732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Old Etna Rd",
            "address_2": "Dartmouth Hitchcock - Sleep Medicine",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037661937",
            "country_code": "US",
            "telephone_number": "603-653-1732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS-GIBBARD",
        "first_name": "ROSLINDE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "17362",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "015629",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VT",
            "license": "042-0011270",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NH",
            "license": "17362",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VT",
            "license": "042-0011270",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VT",
            "license": "042-0011270",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NH",
            "license": "17362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013328",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102915",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSLINDE",
            "last_name": "COLLINS",
            "middle_name": "MARY",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.