Active NPI
Nicholas J Collins
- Durable Medical Equipment & Medical Supplies
- Bogalusa, LA
National Provider Identifier
1326127028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 36196052K
- Practice address
- 400 Georgia Ave
Suite 16
Bogalusa, LA 70427-3866 - Phone
- (985) 516-9483
- Fax
- (985) 732-3521
- NPI assigned
- Nov 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 36196052K | LA | Primary |
Addresses
Primary practice location
400 Georgia Ave
Suite 16
Bogalusa, LA 70427-3866
Mailing address
400 Georgia Ave
Suite 16
Bogalusa, LA 70427-3866
Phone (985) 516-9483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36196052K | LA | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326127028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GEORGIA AVE",
"address_2": "SUITE 16",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273866",
"telephone_number": "985-516-9483",
"fax_number": "985-732-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GEORGIA AVE",
"address_2": "SUITE 16",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273866",
"telephone_number": "985-516-9483",
"fax_number": "985-732-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "NICHOLAS",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "LA",
"license": "36196052K",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bogalusa, LA
- Clinics of the Southeast LLC (Bogalusa Family Medicine & Behavioral Health)
- Clinics of the Southeast LLC (Bogalusa Pediatric Clinic)
- Col Management LLC (Open MRI of Washington Parish LLC)
- Josiah Cole, MD
- Margaret C Collette, RN,C
- Richard Colon-Ortiz, MD
- Community Connections Programs, Inc
- Community Connections Programs, Inc
- Community Connections Programs, Inc.
- Compassionate Release Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.