Active NPI
Karen U. Collis, WHCNP
- Nurse Practitioner
- Ely, NV
National Provider Identifier
1538404397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 000627
- Practice address
- 995 Campton St
Ely, NV 89301-1987 - Phone
- (775) 293-6558
- Fax
- (775) 289-1561
- NPI assigned
- Dec 5, 2012
- Last updated
- Dec 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 000627 | NV | Primary |
Addresses
Primary practice location
995 Campton St
Ely, NV 89301-1987
Mailing address
995 Campton St
Ely, NV 89301-1987
Phone (775) 293-6558
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000627 | NV | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1538404397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 CAMPTON ST",
"city": "ELY",
"state": "NV",
"postal_code": "893011987",
"telephone_number": "775-293-6558",
"fax_number": "775-289-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 CAMPTON ST",
"city": "ELY",
"state": "NV",
"postal_code": "893011987",
"telephone_number": "775-293-6558",
"fax_number": "775-289-1561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIS",
"first_name": "KAREN",
"middle_name": "U.",
"name_prefix": "Mrs.",
"credential": "WHCNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-05",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "000627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ely, NV
- Casey Brewer, LCSW, LLC
- Jodie Lynn Chlouber
- City of Ely (City of Ely Fire Department)
- Teresa Lynne Clark, RN
- Weslianne Coble
- Economy Drug, Inc.
- Economy Drug, Inc. (Economy Drug)
- Ely Shoshone Tribe (Newe Medical Clinic)
- Ely Shoshone Tribe (Newe Medical Clinic)
- Evergreen at Ely, L.L.C. (White Pine Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.