Active NPI
Catherine Collins, PMHNP-BC
- Nurse Practitioner
- Orem, UT
National Provider Identifier
1568960250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7879746-4405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7879746-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Sage Recovery, Inc. | Current | Accepting new patients | |
| Uhs of Provo Canyon, Inc. | Single Specialty | Current | 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.
-
- Substance Abuse Rehabilitation Facility
- Pleasant Grove, UT
- NPI 1124593108
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.