Individual provider Active NPI

Marjorie Collins, ARNP, FNP , PMHNP

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1518449313
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9322985 Issued in FL
Practice address
5414 Rivermill LN
Lake Worth, FL 33463-7439
Phone
(561) 706-4392
NPI assigned
Aug 29, 2018
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN93229285 FL
Family Nurse Practitioner 363LF0000X APRN9322985 FL Primary

Addresses

Primary practice location

5414 Rivermill LN
Lake Worth, FL 33463-7439

Mailing address

8927 Hypoluxo Rd Ste A4
Lake Worth, FL 33467-5249
Phone (561) 706-4392

Other practice location 1

1150 45th St
West Palm Beach, FL 33407
Phone (561) 514-5300

Other practice location 2

5414 Rivermill Ln
Lake Worth, FL 33463-7439
Phone (561) 706-4392

Other practice location 3

5414 Rivermill Ln
Lake Worth, FL 33463-7439
Phone (561) 706-4392

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

LicenseStateTypeSpecialty
APRN93229285FLMDFamily Nurse Practitioner
APRN9322985FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Health & Wellness Medical Group CurrentSince Feb 25, 2024 Accepting new patients

Locations

8927 Hypoluxo Rd
Ste A4
Lake Worth, FL 33467
Phone (561) 398-7832

Organizations & group practices 2

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1518449313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8927 HYPOLUXO RD STE A4",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675249",
            "telephone_number": "561-706-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 RIVERMILL LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637439",
            "telephone_number": "561-706-4392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 45th St",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "33407",
            "country_code": "US",
            "telephone_number": "561-514-5300",
            "fax_number": "561-514-5538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5414 Rivermill Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334637439",
            "country_code": "US",
            "telephone_number": "561-706-4392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5414 Rivermill Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334637439",
            "country_code": "US",
            "telephone_number": "561-706-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARJORIE",
        "credential": "ARNP, FNP , PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN93229285",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9322985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.