Amanda Lyn Collins, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA58324 Issued in FL

Practice address

1219 SW Main Blvd
Lake City, FL 32025-6685

Phone

(386) 755-4430

NPI assigned

Jul 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1487967824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 NW ARMADILLO LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558539",
            "telephone_number": "513-702-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256685",
            "telephone_number": "386-755-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "AMANDA",
        "middle_name": "LYN",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA58324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reaves C Cole, O.D.
• Sherri Alaine Cole, L.D.O.
• William A. Cole, O.D.
• Susan Coleman
• Elizabeth Sophia Collie, APRN
• Anita Nicole Collins
• Doris F Collins
• Joanne Collins
• Adrianne Leigh Cology, LMHC
• Columbia County Chiropractic Center, LLC

• Massage Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.