Grace Ellen Collins, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95017994 Issued in CA

Practice address

888 Prospect St Ste 200
La Jolla, CA 92037-4261

Phone

(415) 849-2466

Fax

(415) 376-4529

NPI assigned

Jul 20, 2021

Last updated

Apr 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: grace.collins.1@18773.direct.athenahealth.com
• Direct secure messaging: grace.collins.p1@direct.sokya.nextgenshare.com

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.

• Mindtree a Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • La Jolla, CA
  • NPI 1467121186
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1154994952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 PROSPECT ST STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374261",
            "telephone_number": "415-849-2466",
            "fax_number": "415-376-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 PROSPECT ST STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374261",
            "telephone_number": "415-849-2466",
            "fax_number": "415-376-4529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10780 Santa Monica Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900257613",
            "country_code": "US",
            "telephone_number": "424-320-4882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1390 Market St Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941025404",
            "country_code": "US",
            "telephone_number": "415-849-2466",
            "fax_number": "415-376-4529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GRACE",
        "middle_name": "ELLEN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95017994",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95040381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M. Cole, N.P.
• Kristen Anne Cole, PH.D.
• Tara Danielle Coleman, MA, OTRL, CAPS
• Nicholas Brian Coley, MD/PHD
• Daniel J. Collins, P.A.
• Resenia Vales Collins, OTR/L
• Kim Colvin, PA-C
• Clifford W. Colwell, M.D.
• Compassion Breast Inc (Compassion Breast)
• Jeanne Conner, PSYD

• Psychiatric/Mental Health Nurse Practitioner in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.