Collins Street Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

COLLINS STREET PEDIATRICS, PLLC

Practice address

4907 S Collins St
Suite 121
Arlington, TX 76018-1157

Phone

(817) 417-9001

Fax

(817) 417-9008

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Chimene W Fikkert, DO

Title

Physician

Phone

(817) 417-9001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1225393473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 S COLLINS ST",
            "address_2": "SUITE 121",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181156",
            "telephone_number": "817-417-9001",
            "fax_number": "817-417-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 S COLLINS ST",
            "address_2": "SUITE 121",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181157",
            "telephone_number": "817-417-9001",
            "fax_number": "817-417-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS STREET PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "FIKKERT",
        "authorized_official_first_name": "CHIMENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-417-9001",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Michele Coleman, MA, LPC-INTERN
• Colette Manning OD PC
• Stephanie Jean Collier, OTR
• Collins RX LLC
• Collins RX LLC
• Betty Brigman Collins, LPC
• Evelan Collins
• Hailey Ann Collins, M.S. CCC-SLP
• Kaleia Collins
• Kelly A Collins, RPH

• Pediatrics Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.