Individual provider Active NPI

Elizabeth Ann Saul-Collins, APRN

  • Family Nurse Practitioner
  • Louisa, KY
National Provider Identifier
1376739219
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5240P Issued in KY
Practice address
412 N Lock Ave
Louisa, KY 41230-1115
Phone
(606) 638-4595
Fax
(606) 638-9471
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5240D KY
Family Nurse Practitioner 363LF0000X 69059 WV
Family Nurse Practitioner 363LF0000X 5240P KY Primary

Addresses

Primary practice location

412 N Lock Ave
Louisa, KY 41230-1115

Mailing address

PO Box 5009
Brentwood, TN 37024-2895
Phone (615) 221-1400

Other identifiers 2

IdentifierTypeStateIssuer
000000276634MedicaidOH
613154600OtherWVBLACK LUNG

Other names 1

  • Elizabeth A Dixon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100422000698 KY Practitioner - Nurse Practitioner 6800949900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Medical Clinics IncGroup PAC ID 7315845047, 30 clinicians

Practice addresses (Care Compare)

2483 Hwy 644
Louisa, KY 41230-9242

2483 Hwy 644 102
Louisa, KY 41230-9242
Phone (606) 638-7488

2483 Hwy 644 104
Louisa, KY 41230-9242
Phone (606) 638-7288

2483 Hwy 644 107
Louisa, KY 41230-9242
Phone (606) 638-1154

2483 Hwy 644 201
Louisa, KY 41230-9242
Phone (606) 638-9404

2485 Hwy 644
Louisa, KY 41230-9242
Phone (606) 638-1154

412 N Lock Ave
Louisa, KY 41230-1115
Phone (606) 638-4595

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5240DKYMDFamily Nurse Practitioner
5240PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Medical Clinics Inc CurrentSince Dec 1, 2018 Accepting new patients
Three Rivers Medical Clinics Inc Family CurrentSince Dec 1, 2018 Accepting new patients
Tri State Nephrology PSC Past Accepting new patients

Locations

412 N Lock Ave
Louisa, KY 41230
Phone (606) 638-4595

2483 Highway 644
Ste 107
Louisa, KY 41230
Phone (606) 638-1154

Interoperability endpoints

  • Direct secure messaging: elizabeth.saul-collins.1@1954.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1376739219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5009",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370242895",
            "telephone_number": "615-221-1400",
            "fax_number": "615-221-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N LOCK AVE",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301115",
            "telephone_number": "606-638-4595",
            "fax_number": "606-638-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL-COLLINS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5240D",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "69059",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5240P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000276634",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "613154600",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DIXON",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.