Nicole Collins

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

8801 Folsom Blvd Ste 195
Sacramento, CA 95826-3231

Phone

(916) 539-9195

Fax

(510) 251-8120

NPI assigned

Apr 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1629631361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NATOMAS BLVD APT 3313",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352257",
            "telephone_number": "916-559-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 FOLSOM BLVD STE 195",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263231",
            "telephone_number": "916-539-9195",
            "fax_number": "510-251-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "reva-pa.com",
            "affiliation": "N",
            "address_1": "101 Cirby Hills Dr",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956784360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leah Lee Collins
• Malie Collins
• Michaila Collins
• Michelle Collins
• Naritia Collins
• Robin A Collins, FNP
• Samantha Dawn Collins
• Sarah Collins, LMFT, LPCC
• Sharon Marie Collins
• Sheri Marie Collins, LCSW

• Home Health Aide in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Home Health Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.