Tara Jolene Collins, M.S

Primary specialty

SpecialistTaxonomy code 174400000X

License

706697 Issued in NY

Practice address

302 Golfcrest Cir
Baldwinsville, NY 13027-3502

Phone

(315) 415-9520

NPI assigned

Sep 1, 2015

Last updated

Sep 1, 2015By 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 1

Addresses

Other names 1

• Miss Tara Jolene Casper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1164899571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 GOLFCREST CIR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130273502",
            "telephone_number": "315-415-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 GOLFCREST CIR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130273502",
            "telephone_number": "315-415-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TARA",
        "middle_name": "JOLENE",
        "name_prefix": "Mrs.",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "706697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "CASPER",
            "middle_name": "JOLENE",
            "prefix": "MISS",
            "credential": "M.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Helen Cohen, M.S. CCC-SLP
• Angela M Cole, LMHC
• Caitlin Coleman
• Margaret (Maggie) Ellen Colligan
• Katherine H. Collins, LPN
• Dawn Michele Conley-Morelli, REGISTERED NURSE
• Chelsea Leigh Connolly
• Jacquelyn S Coreia
• Lisa Marie Cornell, RN
• Chelsea Coulter

• Specialist in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.