Active NPI
Stacy Collins, NP
- Family Nurse Practitioner
- Gretna, LA
National Provider Identifier
1558024596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 221138
- Practice address
- 100 Dolhonde St
Gretna, LA 70053-5801 - Phone
- (504) 374-7753
- NPI assigned
- Oct 18, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 221138 | LA | Primary |
Addresses
Primary practice location
100 Dolhonde St
Gretna, LA 70053-5801
Mailing address
1720 Windward Concourse Ste 300
Alpharetta, GA 30005-1727
Phone (770) 692-4767
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | correcthealth.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 221138 | LA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1558024596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 WINDWARD CONCOURSE STE 300",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300051727",
"telephone_number": "770-692-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DOLHONDE ST",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535801",
"telephone_number": "504-374-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "STACY",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "221138",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "correcthealth.org",
"affiliation": "N",
"address_1": "100 Dolhonde St",
"city": "Gretna",
"state": "LA",
"country_code": "US",
"postal_code": "700535801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.