Amanda Collins, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

LE-00026100 Issued in OH

Practice address

27843 State Route 7
Marietta, OH 45750-9060

Phone

(740) 773-1141

NPI assigned

Apr 23, 2019

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 identifiers 1

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Muskingum Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Malta, OH
  • NPI 1528257789
  NPD (past)

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1174187439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17273 STATE ROUTE 104",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019718",
            "telephone_number": "740-773-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27843 STATE ROUTE 7",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509060",
            "telephone_number": "740-773-1141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2146 Southgate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437253096",
            "country_code": "US",
            "telephone_number": "740-773-1141 x7859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "LE-00026100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BON",
            "identifier": "LE-00026100",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amanda.collins@va.gov",
            "affiliation": "N",
            "address_1": "2146 Southgate Pkwy",
            "city": "Cambridge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437253096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amanda.collins@va.gov",
            "affiliation": "N",
            "address_1": "27843 State Route 7",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457509060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Timothy Stephen Clore, D.O.
• Christopher Alexander Cockerham, MD
• Miranda Coey, CRNA
• Jamie Jo Coleman
• James Coley
• Miranda Collins, PA-C
• Zachary Adam Collins, CDCA PRELIMINARY
• Erin Elizabeth Combs
• Community Action Program Corp of Washington-Morgan Counties, Ohio
• Community Birth Group

• Nurse Practitioner in Marietta, OH
• Providers in Marietta, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.