Active NPI
Kathlynn L. Collins, FNP/MSN
- Nurse Practitioner
- Modesto, CA
National Provider Identifier
1467413849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 191
- Practice address
- 1320 Celeste Dr
Modesto, CA 95355-2402 - Phone
- (209) 527-6900
- Fax
- (209) 524-7328
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- 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 | 191 | CA | Primary |
Addresses
Primary practice location
1320 Celeste Dr
Modesto, CA 95355-2402
Mailing address
1320 Celeste Dr
Modesto, CA 95355-2402
Phone (209) 527-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1467413849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 CELESTE DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552402",
"telephone_number": "209-527-6900",
"fax_number": "209-524-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 CELESTE DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552402",
"telephone_number": "209-527-6900",
"fax_number": "209-524-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "KATHLYNN",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "FNP/MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.