Collins Complete Familycare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

COLLINS COMPLETE FAMILYCARE LLC

Practice address

514 S Fannin Ave
Tyler, TX 75702-8203

Phone

(903) 630-9170

Fax

(903) 630-5171

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth CollinsNPI 1548792369

Title

FNP

Phone

(903) 630-9170

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Collins, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1548792369
  Authorized official Same address or phone

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1528629755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E SE LOOP 323 # 176",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018337",
            "telephone_number": "903-630-9170",
            "fax_number": "903-630-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S FANNIN AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028203",
            "telephone_number": "903-630-9170",
            "fax_number": "903-630-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS COMPLETE FAMILYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "903-630-9170"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Andrew Collier, RN
• James Lane Collier, CRNA
• Kristen Collier
• Collins Bros., Inc.
• Collins Complete Family Care
• Adrienne Collins
• Briana Collins
• Elizabeth Collins, FNP-C
• Lester Blackshear Collins III, M.D. P.C.
• Sandra Collins, OT

• Family Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.