Individual provider Active NPI

Monique Nicole Collins, FNP-C

  • Family Nurse Practitioner
  • Porterville, CA
National Provider Identifier
1154885853
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010936 Issued in CA
Practice address
590 W Putnam Ave
Porterville, CA 93257-3257
Phone
(559) 781-3700
NPI assigned
Jan 27, 2019
Last updated
Jan 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138480 TX
Family Nurse Practitioner 363LF0000X 95010936 CA Primary

Addresses

Primary practice location

590 W Putnam Ave
Porterville, CA 93257-3257

Mailing address

1711 W Henderson Ave Apt 54
Porterville, CA 93257-1592
Phone (404) 409-9008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250214000804 TX Practitioner - Nurse Practitioner 1254666001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3811 Lyons Ave
Houston, TX 77020-8306
Phone (832) 548-5400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Feb 5, 2025 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Feb 5, 2025 Accepting new patients
Valley Healthcare Centers Past Accepting new patients
Sequoia Family Medical Center, Inc Past Accepting new patients
Valley Healthcare Centers PastSince Aug 18, 2019 Accepting new patients

Locations

3517 Irvington Blvd
Ste 200
Houston, TX 77009
Phone (713) 814-3590

3811 Lyons Ave
Houston, TX 77020
Phone (713) 814-3605

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1154885853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W HENDERSON AVE APT 54",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571592",
            "telephone_number": "404-409-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573257",
            "telephone_number": "559-781-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MONIQUE",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138480",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.