Individual provider Active NPI

Chinor L Collick Jr., RN

  • Registered Nurse
  • Parkville, MD
National Provider Identifier
1487087367
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R166940 Issued in MD
Practice address
4 Lava CT
1-B
Parkville, MD 21234-1944
Phone
(410) 830-0878
NPI assigned
Aug 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R166940 MD Primary
Administrator Registered Nurse 163WA2000X R166940 MD
Case Management Registered Nurse 163WC0400X R166940 MD
College Health Registered Nurse 163WC1400X R166940 MD
Community Health Registered Nurse 163WC1500X R166940 MD
Continuing Education/Staff Development Registered Nurse 163WC1600X R166940 MD
Cardiac Rehabilitation Registered Nurse 163WC3500X R166940 MD
Diabetes Educator Registered Nurse 163WD0400X R166940 MD
General Practice Registered Nurse 163WG0000X R166940 MD
Infection Control Registered Nurse 163WI0600X R166940 MD
Medical-Surgical Registered Nurse 163WM0705X R166940 MD
Nutrition Support Registered Nurse 163WN1003X R166940 MD
Wound Care Registered Nurse 163WW0000X R166940 MD

Addresses

Primary practice location

4 Lava CT
1-B
Parkville, MD 21234-1944

Mailing address

4 Lava CT
1-B
Parkville, MD 21234-1944
Phone (410) 830-0878

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R166940MDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1487087367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAVA CT",
            "address_2": "1-B",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341944",
            "telephone_number": "410-830-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAVA CT",
            "address_2": "1-B",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341944",
            "telephone_number": "410-830-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLICK",
        "first_name": "CHINOR",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R166940",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MD",
            "license": "R166940",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R166940",
            "primary": false
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "MD",
            "license": "R166940",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MD",
            "license": "R166940",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "MD",
            "license": "R166940",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "MD",
            "license": "R166940",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MD",
            "license": "R166940",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MD",
            "license": "R166940",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "MD",
            "license": "R166940",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MD",
            "license": "R166940",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "MD",
            "license": "R166940",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MD",
            "license": "R166940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.