Individual provider Active NPI

Carolyn Collier, FNP-C

  • Family Nurse Practitioner
  • Litchfield Park, AZ
National Provider Identifier
1538872387
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
285287 Issued in AZ
Practice address
4208 N 125TH Ave
Litchfield Park, AZ 85340-5551
Phone
(610) 772-3325
NPI assigned
Dec 26, 2022
Last updated
Dec 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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 285287 AZ Primary

Addresses

Primary practice location

4208 N 125TH Ave
Litchfield Park, AZ 85340-5551

Mailing address

4208 N 125TH Ave
Litchfield Park, AZ 85340-5551
Phone (610) 772-3325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230119001122 AZ Practitioner - Nurse Practitioner 4183095748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Corner Health Medical Group P aGroup PAC ID 5799223236, 36 clinicians

Practice addresses (Care Compare)

2 N Central Ave
Suite 1800
Phoenix, AZ 85004-2139
Phone (425) 243-3719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
285287AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Dec 23, 2022 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Feb 25, 2024 Accepting new patients
Corner Health Medical Group P a Family CurrentSince Jun 1, 2025 Accepting new patients
C & P Healthcare Group LLC Family CurrentSince Oct 29, 2023 Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

Interoperability endpoints

  • Direct secure messaging: carolyn.collier.1@30477.direct.athenahealth.com

Organizations & group practices 6

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": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1538872387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 N 125TH AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405551",
            "telephone_number": "610-772-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 N 125TH AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405551",
            "telephone_number": "610-772-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "CAROLYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "285287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.