Individual provider Active NPI

Myriya Collins, CRNP

  • Family Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1487466256
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-162635 Issued in AL
Practice address
1615 Kathy LN SW Ste 102
Decatur, AL 35603-1026
Phone
(256) 701-5651
Fax
(256) 429-9411
NPI assigned
Jan 21, 2025
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-162635 AL Primary

Addresses

Primary practice location

1615 Kathy LN SW Ste 102
Decatur, AL 35603-1026

Mailing address

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20250324001143 AL Practitioner - Nurse Practitioner 1153843776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

1615 Kathy LN SW
Suite 102
Decatur, AL 35603-1026
Phone (256) 686-4441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Russellville Hospital Inc CurrentSince Jul 1, 2025 Accepting new patients
Integrated Behavioral Health, Inc. Family CurrentSince Feb 11, 2025 Accepting new patients
Russellville Hospital Inc CurrentSince Jul 1, 2025 Accepting new patients
Iop Behavioral Health, LLC PastSince Feb 11, 2025 Accepting new patients

Locations

7101 US Highway 90
Ste 103
Daphne, AL 36526
Phone (251) 517-5800

1615 Kathy Ln SW
Ste 102
Decatur, AL 35603
Phone (256) 686-4441

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

Organizations & group practices 4

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": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1487466256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-288-3333",
            "fax_number": "256-288-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 KATHY LN SW STE 102",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031026",
            "telephone_number": "256-701-5651",
            "fax_number": "256-429-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MYRIYA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-162635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.