Active NPI
Gaylord Collins, CP
- Prosthetist
- Pineville, LA
National Provider Identifier
1144473224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CP003397
- Practice address
- 2495 Shreveport Hwy
BLD 2 RM 242
Pineville, LA 71306-9004 - Phone
- (318) 473-0010
- Fax
- (318) 483-5154
- NPI assigned
- Nov 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CP003397 | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy
BLD 2 RM 242
Pineville, LA 71306-9004
Mailing address
2114 Shreveport Hwy
Apt 275
Pineville, LA 71360-2006
Phone (601) 842-7780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1144473224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 SHREVEPORT HWY",
"address_2": "APT 275",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713602006",
"telephone_number": "601-842-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY",
"address_2": "BLD 2 RM 242",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713069004",
"telephone_number": "318-473-0010",
"fax_number": "318-483-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "GAYLORD",
"name_prefix": "Mr.",
"credential": "CP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-03",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": "CP003397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.