Individual provider Active NPI

Faith Kollen, APRN

  • Family Nurse Practitioner
  • Palm Harbor, FL
National Provider Identifier
1134911316
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11039600 Issued in FL
Practice address
33920 US Highway 19 N Ste 124
Palm Harbor, FL 34684-2619
Phone
(727) 785-7654
NPI assigned
May 21, 2025
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11039600 FL Primary

Addresses

Primary practice location

33920 US Highway 19 N Ste 124
Palm Harbor, FL 34684-2619

Mailing address

12407 Bristol Commons Cir
Tampa, FL 33626-2410
Phone (727) 641-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627001584 FL Practitioner - Nurse Practitioner 7416460043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians

Practice addresses (Care Compare)

33920 US Hwy 19 N
Suite 124
Palm Harbor, FL 34684-2619
Phone (727) 785-7654

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11039600FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Gastroenterology LLP CurrentSince Jun 18, 2025 Accepting new patients
Daly Klibanoff Peebles & Zeitlin MD PA PastSince May 25, 2025 Accepting new patients

Locations

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

33920 US Highway 19 N
Ste 124
Palm Harbor, FL 34684
Phone (727) 785-7654

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

1840 Mease Dr
Ste 305
Safety Harbor, FL 34695
Phone (727) 447-9000

12780 Race Track Rd
Ste 405
Tampa, FL 33626
Phone (813) 854-2531

2044 Trinity Oaks Blvd
Ste 120
Trinity, FL 34655
Phone (727) 372-1001

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1134911316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12407 BRISTOL COMMONS CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262410",
            "telephone_number": "727-641-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33920 US HIGHWAY 19 N STE 124",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842619",
            "telephone_number": "727-785-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLEN",
        "first_name": "FAITH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11039600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.