Active NPI
Collier Family Medical, PLLC
- Family Nurse Practitioner
- Lincolnton, NC
National Provider Identifier
1104587609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- COLLIER FAMILY MEDICAL, PLLC
- Practice address
- 1220 N Flint. St.
Lincolnton, NC 28092 - Phone
- (704) 240-5260
- Fax
- (704) 703-6607
- NPI assigned
- Jan 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Kay Collier, FNP-C
- Title
- FNP/Owner
- Phone
- (704) 240-5260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1220 N Flint. St.
Lincolnton, NC 28092
Mailing address
1220 N Flint. St.
Lincolnton, NC 28092
Phone (704) 240-5260
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641427200000",
"number": "1104587609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 N FLINT. ST.",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "28092",
"telephone_number": "704-240-5260",
"fax_number": "704-703-6607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 N FLINT. ST.",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "28092",
"telephone_number": "704-240-5260",
"fax_number": "704-703-6607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLIER FAMILY MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A",
"authorized_official_last_name": "COLLIER",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "FNP/OWNER",
"authorized_official_telephone_number": "704-240-5260",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.