Shaleitha Collins

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0069784 Issued in OK

Practice address

1320 N Rockwell Ave Apt B
Oklahoma City, OK 73127-3355

Phone

(405) 821-1806

NPI assigned

Sep 18, 2019

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

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.

• Grand Village in Home Care

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1972151967
  NPD Authorized official

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1114577483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N ROCKWELL AVE APT B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731273355",
            "telephone_number": "405-821-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N ROCKWELL AVE APT B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731273355",
            "telephone_number": "405-821-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SHALEITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0069784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Londa R. Collins
• Nayiya Collins
• Nikki Ann Collins
• Patricia Karen Collins, RN
• Samantha Collins, DDS
• Sondra Haley Collins
• Susanne Michele Collins
• Teena Gaye Collins, M.S.,L.P.C.,N.C.C
• Kristen Collister, MD
• Peter Collister, MD

• Licensed Practical Nurse in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.