Mary Leta Collins, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APN000005798 Issued in TN

Practice address

120 Walnut Commons LN
Suite C
Cookeville, TN 38501-6035

Phone

(931) 526-5777

Fax

(931) 526-9749

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.collins.2@7654.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

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.

• Saint Thomas Medical Partners

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669

  TN

  Medicare reassignment NPD
• Cookeville Regional Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Cookeville, TN
  • NPI 1649202102
  NPD (past)
• Cookeville Urgent Care

  • Urgent Care Clinic/Center
  • Cookeville, TN
  • NPI 1588769731
  NPD (past)
• Copeland Medical Services

  • Internal Medicine Physician
  • Celina, TN
  • NPI 1386849040
  NPD (past)
• Medical Observation Services LLC

  • Emergency Medicine Physician
  • Cookeville, TN
  • NPI 1669734877
  NPD (past)
• Putnam County Rural Health Clinic, Inc

  • Rural Health Clinic/Center
  • Baxter, TN
  • NPI 1316936560
  NPD (past)
• Putnam County Rural Health Clinic, Inc

  • Rural Health Clinic/Center
  • Monterey, TN
  • NPI 1912996067
  NPD (past)
• Saint Thomas River Park Hospital, LLC

  • Rural Health Clinic/Center
  • Sparta, TN
  • NPI 1972193191
  NPD (past)
• Volunteer Medical Group, P.C.

  • Emergency Medicine Physician
  • Cookeville, TN
  • NPI 1801886999
  NPD (past)
• White County Physician Services Inc

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1417950122
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1396830998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD",
            "address_2": "STE. 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37228",
            "telephone_number": "931-526-5777",
            "fax_number": "931-526-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WALNUT COMMONS LN",
            "address_2": "SUITE C",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385016035",
            "telephone_number": "931-526-5777",
            "fax_number": "931-526-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARY",
        "middle_name": "LETA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN000005798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3343249",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E Cole, MD
• Shelnessa Murlene Cole, RN
• Jordan Katherine Collier
• Christina Marie Collins, APRN
• Gabriel Lee Collins, DO
• Melissa Lee Collins, LPC, MHSP
• Rachel Collins, MOT
• Sydnee Collins, BEHAVIOR TECHNICIAN
• Timothy J Collins, M.D.
• Timothy Ray Collins, MD

• All providers in Cookeville, TN
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.