Kelly K Collins, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP04590 Issued in LA

Practice address

501 Medical Center Dr
Suite 3a
Alexandria, LA 71301-8124

Phone

(318) 484-3899

Fax

(318) 484-3887

NPI assigned

Feb 11, 2009

Last updated

Sep 7, 2022By 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 3

Addresses

Other identifiers 1

Other names 1

• Kelly Horton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26922/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.

• Pediatrics Primary Care Clinic LLC

  • Rural Health Clinic/Center
  • Forest Hill, LA
  • NPI 1962130443
  NPD Authorized official

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1306085592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "FOREST HILL",
            "state": "LA",
            "postal_code": "714300457",
            "telephone_number": "318-794-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MEDICAL CENTER DR",
            "address_2": "SUITE 3A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018124",
            "telephone_number": "318-484-3899",
            "fax_number": "318-484-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KELLY",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP04590",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "RN082563",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN082563",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1670855",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HORTON",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Coleman, NP
• Tameisha Michelle Coleman
• Tieshela Lashaunda Coleman
• Wesley Coleman
• George Robert Collins, D.O.
• Katherine Colson
• Kimberly Wall Colston, PMHNP
• Colwell Interest, Inc. (Poland Community Home)
• Comm Care Corp Dba (DBA Cmhc of Alexandria)
• Communicate for Life

• Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.