Kathy M Collins, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10004611 Issued in WA

Practice address

11019 Canyon Rd E
Suite a
Puyallup, WA 98373-4298

Phone

(253) 537-0293

Fax

(253) 537-7650

NPI assigned

Oct 12, 2006

Last updated

Jul 30, 2007By the provider in NPPES

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)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Central Montana Regional Mental Health Center

  • Clinic/Center
  • Billings, MT
  • NPI 1891781787
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1225127368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 CANYON RD E",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734298",
            "telephone_number": "253-537-0293",
            "fax_number": "253-537-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11019 CANYON RD E",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734298",
            "telephone_number": "253-537-0293",
            "fax_number": "253-537-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KATHY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Colkitt
• Collaborative Behavioral Approach (Collaborative Behavioral Approach LLC)
• Collaborative Care &Wellness
• Nicole D Collett, MD
• Fern S Collins, RPH
• Madelyn Collins, DPT
• Taryn Collura
• Natalie Janet Colyer, COTA/L
• Nancy Mae Combs
• Commonspirit Washington (Franciscan Cardiothoracic Surgery Associates)

• Medical Physician Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.