Organization Active NPI

Collaborative First Assisting, LLC

  • Surgical Physician Assistant
  • Carrollton, TX
National Provider Identifier
1316538085
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
COLLABORATIVE FIRST ASSISTING, LLC
Practice address
2604 Leicester Dr
Carrollton, TX 75006-2179
Phone
(260) 409-4905
Fax
(214) 279-9499
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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

Authorized official

Name
Laura R Tiffany-Harrod, LSANPI 1952780496
Title
President
Phone
(260) 404-4905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

2604 Leicester Dr
Carrollton, TX 75006-2179

Mailing address

PO Box 700715
Dallas, TX 75370-0715
Phone (260) 409-4905

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720915200000",
    "number": "1316538085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700715",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753700715",
            "telephone_number": "260-409-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 LEICESTER DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062179",
            "telephone_number": "260-409-4905",
            "fax_number": "214-279-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE FIRST ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-07-14",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "TIFFANY-HARROD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-404-4905",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2024; 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.