Samantha Collins, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

1090 Issued in MN

Practice address

3033 Excelsior Blvd
Minneapolis, MN 55416-4688

Phone

(612) 345-5920

NPI assigned

Apr 14, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Willow Midwives LTD

  • Birthing Clinic/Center
  • Minneapolis, MN
  • NPI 1750771143
  NPD (past)
• Willow Midwives LTD

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1801299128
  NPD (past)

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1184367518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17260 ROUND LAKE RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553464353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 EXCELSIOR BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164688",
            "telephone_number": "612-345-5920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17260 Round Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553464353",
            "country_code": "US",
            "telephone_number": "612-845-2254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SAMANTHA",
        "credential": "CPM, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MN",
            "license": "1090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen A Collins, C.P.N.P.
• Marion Lisa Collins, M.D.
• Megan Collins, DAT, LAT, ATC
• Rachel Collins, LICSW
• Rose Cecilia Collins, PHD
• Scott Bradley Collins, LPC
• Shawn Michael Collins, CRNA
• Shelley Marie Collins, RN
• Denise Colo, M.A.
• Amy Marie Colombo

• Midwife in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.