Active NPI
Adriana Collins, FNP-C
- Family Nurse Practitioner
- North Canton, OH
National Provider Identifier
1225599566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 026068
- Practice address
- 6046 Whipple Ave NW
North Canton, OH 44720-7616 - Phone
- (330) 433-1311
- Fax
- (330) 477-7783
- NPI assigned
- Mar 28, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2298957 | MA | |
| Registered Nurse | 163W00000X | 458545 | OH | |
| Nurse Practitioner | 363L00000X | RN2298957 | MA | |
| Family Nurse Practitioner | 363LF0000X | 026068 | OH | Primary |
Addresses
Primary practice location
6046 Whipple Ave NW
North Canton, OH 44720-7616
Mailing address
PO Box 80690
Canton, OH 44708-0690
Phone (330) 363-7444
Other practice location 1
85 High St
Medford, MA 02155
Phone (781) 396-4770
Other practice location 2
85 High St
Medford, MA 02155
Phone (781) 396-4770
Other practice location 3
3761 Massillon Rd
Uniontown, OH 44685-7730
Phone (330) 899-9085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 458545 | OH | MD | Registered Nurse |
| 026068 | OH | MD | Family Nurse Practitioner |
Interoperability endpoints
- adriana.collins@direct.aultman.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1225599566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80690",
"city": "CANTON",
"state": "OH",
"postal_code": "447080690",
"telephone_number": "330-363-7444",
"fax_number": "330-363-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6046 WHIPPLE AVE NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207616",
"telephone_number": "330-433-1311",
"fax_number": "330-477-7783"
}
],
"practiceLocations": [
{
"address_1": "85 High St",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "MA",
"postal_code": "02155",
"country_code": "US",
"telephone_number": "781-396-4770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "85 High St",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "MA",
"postal_code": "02155",
"country_code": "US",
"telephone_number": "781-396-4770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3761 Massillon Rd",
"address_purpose": "LOCATION",
"city": "Uniontown",
"state": "OH",
"postal_code": "446857730",
"country_code": "US",
"telephone_number": "330-899-9085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "ADRIANA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2298957",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "458545",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2298957",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "026068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.