Active NPI
Joanne Collins
- Transportation Broker
- Lake City, FL
National Provider Identifier
1619472172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- 464222934
- Practice address
- 404 SE Church Ave
Lake City, FL 32025-5378 - Phone
- (386) 288-6291
- Fax
- (386) 243-8545
- NPI assigned
- Mar 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | 464222934 | FL | Primary |
Addresses
Primary practice location
404 SE Church Ave
Lake City, FL 32025-5378
Mailing address
404 SE Church Ave
Lake City, FL 32025-5378
Phone (386) 288-6291
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collins Transportation | Transportation Broker | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Transportation Broker
- Jasper, FL
- NPI 1942705413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1619472172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 SE CHURCH AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320255378",
"telephone_number": "386-288-6291",
"fax_number": "386-243-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 SE CHURCH AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320255378",
"telephone_number": "386-288-6291",
"fax_number": "386-243-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JOANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "FL",
"license": "464222934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.