Individual provider Active NPI

Catherine Collins, PMHNP-BC

  • Nurse Practitioner
  • Orem, UT
National Provider Identifier
1568960250
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7879746-4405 Issued in UT
Practice address
700 W. 800 N.
Suite 220
Orem, UT 84057
Phone
(801) 354-8205
Fax
(801) 354-8206
NPI assigned
Jan 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 7879746-4405 UT
Nurse Practitioner 363L00000X 7879746-4405 UT Primary

Addresses

Primary practice location

700 W. 800 N.
Suite 220
Orem, UT 84057

Mailing address

1055 N 500 W
Attn. Credentialing
Provo, UT 84604
Phone (801) 354-8225

Other practice location 1

10754 N Sheridan
Cedar Hills, UT 84062-8510
Phone (801) 885-6341

Other practice location 2

1350 E 750 N
Orem, UT 84097-4345
Phone (801) 852-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com Revere Health PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7879746-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White Sage Recovery, Inc. Current Accepting new patients
Uhs of Provo Canyon, Inc. Single Specialty CurrentSince Mar 6, 2018 Accepting new patients

Locations

1350 E 750 N
Orem, UT 84097
Phone (801) 229-1036

533 W Center St
Pleasant Grove, UT 84062
Phone (801) 899-2460

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1568960250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "ATTN. CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W. 800 N.",
            "address_2": "SUITE 220",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84057",
            "telephone_number": "801-354-8205",
            "fax_number": "801-354-8206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10754 N Sheridan",
            "address_purpose": "LOCATION",
            "city": "Cedar Hills",
            "state": "UT",
            "postal_code": "840628510",
            "country_code": "US",
            "telephone_number": "801-885-6341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 E 750 N",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840974345",
            "country_code": "US",
            "telephone_number": "801-852-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CATHERINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "7879746-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7879746-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Revere Health PC",
            "address_1": "700 W. 800 N.",
            "address_2": "Suite 220",
            "city": "Orem",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.