Individual provider Active NPI

Collin Thomas, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Ponchatoula, LA
National Provider Identifier
1265823637
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP08199 Issued in LA
Practice address
1054 SW Railroad Ave
Ponchatoula, LA 70454-3557
Phone
(855) 869-9898
Fax
(985) 401-9898
NPI assigned
Feb 6, 2015
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP08199 LA
Pediatric Nurse Practitioner 363LP0200X AP08199 LA Primary

Addresses

Primary practice location

1054 SW Railroad Ave
Ponchatoula, LA 70454-3557

Mailing address

1054 SW Railroad Ave
Ponchatoula, LA 70454-3557
Phone (855) 869-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20220629001527 LA Practitioner - Nurse Practitioner 5395125934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1054 SW Railroad Ave
Ponchatoula, LA 70454-3557
Phone (855) 869-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strawberry Patch Pediatrics LLC CurrentSince Mar 4, 2022 Accepting new patients
Strawberry Patch Pediatrics LLC CurrentSince Mar 4, 2022 Accepting new patients

Locations

903 W Oak St
Amite, LA 70422
Phone (833) 901-1504

1054 SW Railroad Ave
Ponchatoula, LA 70454
Phone (855) 869-9898

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.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1265823637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 SW RAILROAD AVE",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543557",
            "telephone_number": "855-869-9898",
            "fax_number": "985-401-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 SW RAILROAD AVE",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543557",
            "telephone_number": "855-869-9898",
            "fax_number": "985-401-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "COLLIN",
        "credential": "APRN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08199",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP08199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

Verify at the official NPI Registry.