Miranda Laura Collins, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R107522 Issued in MD

Practice address

1238 Putty Hill Ave
Towson, MD 21286-5844

Phone

(410) 823-4423

Fax

(410) 823-5180

NPI assigned

Sep 13, 2007

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

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1295920072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 SLALOM RUN DR",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631106",
            "telephone_number": "410-922-3952",
            "fax_number": "410-655-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 PUTTY HILL AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865844",
            "telephone_number": "410-823-4423",
            "fax_number": "410-823-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MIRANDA",
        "middle_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R107522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne Coleman, LCSW-C
• Colleen King Goode LLC
• Collins Psychotherapy Inc
• Alanna Collins
• Arielle Collins
• Rosemarie Collins
• Ruth Marie Collins
• Columbia Associates in Psychiatry PC
• Columbus Eye Associates, Inc.
• Michele Columbus-Jang, FNP-C

• Family Nurse Practitioner in Towson, MD
• Providers in Towson, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.