Individual provider Active NPI

Kahlima Oni Collins, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1205505401
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05200611 Issued in NY
Practice address
845 3Rd Ave FL 6
New York, NY 10022-6630
Phone
(866) 949-0108
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05200611 NY Primary

Addresses

Primary practice location

845 3Rd Ave FL 6
New York, NY 10022-6630

Mailing address

1464 E 86TH St # 1
Brooklyn, NY 11236-5134
Phone (646) 299-3622

Other practice location 1

1 Brookdale Plz
Brooklyn, NY 11212-3198
Phone (718) 240-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20230420002225 NY Practitioner - Nurse Practitioner 1557726809 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F05200611NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Park Operating, LLC CurrentSince Jan 26, 2023 Accepting new patients
Medical Director Services PC CurrentSince Jan 17, 2023 Accepting new patients
Patient First Medical Practice PC CurrentSince May 31, 2023 Accepting new patients
Infinite Medical PC CurrentSince Dec 14, 2024 Accepting new patients

Locations

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

250 Skillman St
Ste 202
Brooklyn, NY 11205

1455 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 252-9800

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1205505401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 E 86TH ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365134",
            "telephone_number": "646-299-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 3RD AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226630",
            "telephone_number": "866-949-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Brookdale Plz",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112123198",
            "country_code": "US",
            "telephone_number": "718-240-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KAHLIMA",
        "middle_name": "ONI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F05200611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.