Shanequa Collins

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

C452-7959-4862-02 Issued in WI

Practice address

6700 Rosby Ave
Fort Worth, TX 76123-2086

Phone

(414) 416-3339

NPI assigned

Apr 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Comfort Care Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Fort Worth, TX
  • NPI 1043069560
  NPD Authorized official
• Comfort Care Home Health

  • Respite Care
  • Kenosha, WI
  • NPI 1699659458
  NPD Authorized official

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1619721404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 ROSBY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232086",
            "telephone_number": "414-416-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ROSBY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232086",
            "telephone_number": "414-416-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SHANEQUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "C452-7959-4862-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonardtine Y Collins
• Linda L Collins, LPC
• Mark F. Collins, M.D.
• Meagan Collins, FNP-C
• Nnyekaa Collins, M.D.
• Tara Jane Collins, OTD, OTR/L
• Tielesha M Collins
• Jessica Collup
• Krishna Prasad Colluru, DDS
• Priya Vinothini Colluru

• Non-emergency Medical Transport (VAN) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.