Rebecca Rosetta Collins

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

R201381 Issued in MD

Practice address

1133 Frontline Dr
Frederick, MD 21703-3906

Phone

(301) 305-9230

NPI assigned

Oct 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570320000000",
    "number": "1356982888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 FRONTLINE DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033906",
            "telephone_number": "301-305-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 FRONTLINE DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033906",
            "telephone_number": "301-305-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "REBECCA",
        "middle_name": "ROSETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-06",
        "last_updated": "2019-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R201381",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R201381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• College View Center LLC
• Thomas William Colligan Jr., LCSW-C
• Emily Collingham
• Cori Collins
• Lisa A Collins, CRNP
• Susan Collins, SPEECH PATHOLOGIST
• Tara A Collins, OTRL
• Colliver Dental Group, P.a.
• William John Colliver, D.D.S.
• Mary Colson, PHARMD

• Case Management Registered Nurse in Frederick, MD
• Providers in Frederick, MD by specialty
• Case Management Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; 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.