Susan Gay Collins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R31176 Issued in ND

Practice address

1503 5TH Ave NW
Minot, ND 58703-1902

Phone

(701) 774-7401

Fax

(701) 774-7479

NPI assigned

Dec 30, 2011

Last updated

Dec 30, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23414/brand/1/csg/1/fhir/r4

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.

• Triple C Clinic PLLC

  • Family Nurse Practitioner
  • Minot, ND
  • NPI 1508450099
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1235409764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 5TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031902",
            "telephone_number": "701-774-7401",
            "fax_number": "701-774-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 5TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031902",
            "telephone_number": "701-774-7401",
            "fax_number": "701-774-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SUSAN",
        "middle_name": "GAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R31176",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R31176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Lee Coca
• Luis Valencia Coca III, LAC
• Kayla M Cole, LRD
• Collaborate Therapy Services
• Brooke M Collins
• Ashley Combs
• Comfort Care Co ND LLC (ComfortCare ND)
• Community Ambulance Service of Minot, Inc.
• Community Medical Services Montana-Private, LLC
• Community Medical Services Montana-Private, LLC (Community Medical Services)

• Family Nurse Practitioner in Minot, ND
• Providers in Minot, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.