Wendy Renee Collini, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H6124 Issued in TX

Practice address

309 Regency Pkwy
Suite #107
Mansfield, TX 76063-5165

Phone

(817) 477-5884

Fax

(817) 477-5235

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: wendy.collini.1@27538.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/5563/brand/2/csg/1/fhir/r4

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.

• Pannaben H Nangha MD PLLC

  • Primary Care Clinic/Center
  • Mansfield, TX
  • NPI 1972864486
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194937417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 REGENCY PKWY",
            "address_2": "SUITE #107",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635165",
            "telephone_number": "817-477-5884",
            "fax_number": "817-477-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 REGENCY PKWY",
            "address_2": "SUITE #107",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635165",
            "telephone_number": "817-477-5884",
            "fax_number": "817-477-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINI",
        "first_name": "WENDY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H6124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Denise Cole, LCDC
• Keri Jo Coleman, RN
• Paulichia Collamer
• Colleyville Physicians DFW PLLC
• Aqueelah R Collier, LCSW
• Collins Counseling Services LMSW PLLC
• John Murphy Collins Jr.
• Jolynda Collins
• Colston Eye Care, PLLC
• Benjamin Dean Colston, OD

• Internal Medicine Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.