Active NPI
Cory Hutson Collins, ARNP
- Nurse Practitioner
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9179012
- Practice address
- 2631 Centennial Blvd
Suite 100
Tallahassee, FL 32308-0588 - Phone
- (850) 877-8539
- Fax
- (850) 877-6674
- NPI assigned
- Oct 19, 2006
- Last updated
- Mar 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9179012 | FL | Primary |
Addresses
Primary practice location
2631 Centennial Blvd
Suite 100
Tallahassee, FL 32308-0588
Mailing address
2631 Centennial Blvd
Suite 100
Tallahassee, FL 32308-0588
Phone (850) 877-8539
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307822100 | Medicaid | FL | |
| 37483 | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Cory Ricketts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1824 King St
Suite 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9179012 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natalia Capote MD LLC | Current | Accepting new patients | |
| Cardiothoracic & Vascular Surgical Associates PA | Nurse Practitioner | Current | Accepting new patients |
Locations
1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343
224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923
801 E 6th St
Ste 205
Panama City, FL 32401
Phone (850) 785-3185
4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619
315 E Ash St
Perry, FL 32347
Phone (850) 584-3278
555 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 431-5360
2623 Centennial Blvd
Ste 101
Tallahassee, FL 32308
Phone (850) 270-7374
2623 Centennial Blvd
Ste 102
Tallahassee, FL 32308
Phone (850) 531-8346
2631 Centennial Blvd
Tallahassee, FL 32308
Phone (850) 702-0579
2631 Centennial Blvd
Ste 100
Tallahassee, FL 32308
Phone (850) 877-8539
Interoperability endpoints
- cory.collins.1@5867.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
Nurse Practitioner
-
- Multi-Specialty Clinic/Center
- Sarasota, FL
- NPI 1104680248
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Perry, FL
- NPI 1427092006
-
dba SunCrest OMNI
- Home Health Agency
- Tallahassee, FL
- NPI 1891024097
-
- Home Health Agency
- Tallahassee, FL
- NPI 1174539522
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1225110679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 CENTENNIAL BLVD",
"address_2": "SUITE 100",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323080588",
"telephone_number": "850-877-8539",
"fax_number": "850-877-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2631 CENTENNIAL BLVD",
"address_2": "SUITE 100",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323080588",
"telephone_number": "850-877-8539",
"fax_number": "850-877-6674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "CORY",
"middle_name": "HUTSON",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9179012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307822100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "37483",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CORY",
"last_name": "RICKETTS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.