Active NPI
Timothy John Collins, NP
- Nurse Practitioner
- Hinsdale, IL
National Provider Identifier
1376644435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Practice address
- 600 W Ogden Ave
Hinsdale, IL 60521 - Phone
- (630) 325-9630
- Fax
- (630) 325-9648
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | IL | Primary |
Addresses
Primary practice location
600 W Ogden Ave
Hinsdale, IL 60521
Mailing address
810 North Illinois St
Plainfield, IL 60544
Phone (815) 919-3662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00288739 | Other | IL | RR MEDICARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindgent Healthcare Clinics, LLC | Nurse Practitioner | Past | Accepting new patients |
| Osf Multi-Specialty Group | Past | Accepting new patients | |
| Paragon Clinical Midwest, LLC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1598716524
-
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- NPI 1619335700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376644435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 NORTH ILLINOIS ST",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "60544",
"telephone_number": "815-919-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W OGDEN AVE",
"city": "HINSDALE",
"state": "IL",
"postal_code": "60521",
"telephone_number": "630-325-9630",
"fax_number": "630-325-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00288739",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
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.