Active NPI
Alicia Collins, CFNP
- Family Nurse Practitioner
- Tupelo, MS
National Provider Identifier
1467465682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R861377
- Practice address
- 830 S Gloster St
1St Floor East Tower
Tupelo, MS 38801-4934 - Phone
- (662) 377-2500
- Fax
- (662) 377-2069
- NPI assigned
- Aug 15, 2006
- Last updated
- Sep 10, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R861377 | MS | Primary |
Addresses
Primary practice location
830 S Gloster St
1St Floor East Tower
Tupelo, MS 38801-4934
Mailing address
830 S Gloster St
1St Floor East Tower
Tupelo, MS 38801-4934
Phone (662) 377-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04284521 | Medicaid | MS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R861377 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John W. White, Jr., MD, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1467465682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 S GLOSTER ST",
"address_2": "1ST FLOOR EAST TOWER",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014934",
"telephone_number": "662-377-2500",
"fax_number": "662-377-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S GLOSTER ST",
"address_2": "1ST FLOOR EAST TOWER",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014934",
"telephone_number": "662-377-2500",
"fax_number": "662-377-2069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ALICIA",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R861377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04284521",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.