Jacqueline Faith Collard, RN, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F381666 Issued in NY

Practice address

501 10TH St
Niagara Falls, NY 14301-1800

Phone

(716) 285-0045

NPI assigned

Sep 29, 2008

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)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1457501207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 10TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011800",
            "telephone_number": "716-285-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 10TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011800",
            "telephone_number": "716-285-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLARD",
        "first_name": "JACQUELINE",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "RN, PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "520157",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald J Clarke, DO
• Ryan John Clarke, D.O.
• Kathleen J Cloutier, NP
• Johnna Coleman, FNP
• Shannon Anne Coleman, PA
• James T Collier, MD
• Sarah A Collins, PHARMD
• Community Medical Pharmacy Inc
• Community Missions Nia Front
• Community Missions of Niagara Frontier, Inc.

• Pediatric Nurse Practitioner in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.