Individual provider Active NPI

Amber Collins, LAC, MACOM, DACOM

  • Acupuncturist
  • Seymour, TN
National Provider Identifier
1568928828
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
331 Issued in TN
Practice address
424 Maryville Hwy Ste 2
Seymour, TN 37865-5739
Phone
(865) 934-9394
NPI assigned
Feb 12, 2019
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 331 TN Primary

Addresses

Primary practice location

424 Maryville Hwy Ste 2
Seymour, TN 37865-5739

Mailing address

1812 McCammon Rd
Knoxville, TN 37920-7552

Other practice location 1

470 Collier Dr
Sevierville, TN 37862-6931
Phone (865) 934-9394

Other identifiers 1

IdentifierTypeStateIssuer
331OtherTNSTATE LICENSE NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1568928828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 MCCAMMON RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379207552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MARYVILLE HWY STE 2",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655739",
            "telephone_number": "865-934-9394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Collier Dr",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378626931",
            "country_code": "US",
            "telephone_number": "865-934-9394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "AMBER",
        "credential": "LAC, MACOM, DACOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TN",
            "license": "331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "331",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.