Deborah Jane Collier-Barstad, M.S.N.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704158669 Issued in MI

Practice address

15255 Northline Rd
Southgate, MI 48195-2487

Phone

(734) 285-3090

Fax

(734) 285-3095

NPI assigned

Jan 31, 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

Other identifiers 2

Other names 1

• Deborah Collier-Barstad Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114064698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15753 PROMENADE AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952487",
            "telephone_number": "734-285-3090",
            "fax_number": "734-285-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER-BARSTAD",
        "first_name": "DEBORAH",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "M.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704158669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "50-0-86-6148-0",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296-0240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "COLLIER-BARSTAD",
            "credential": "P.N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Jennifer Welch Cole
• Paige Coleman
• Cheryl Collins
• Karen Leigh-Banker Collins, M.S., M.A., TLLP
• Kristen Collins
• Lauren Collins
• Roy Collins, RN

• Pediatric Nurse Practitioner in Southgate, MI
• Providers in Southgate, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.