Jesseka Jean Collins I

Primary specialty

SpecialistTaxonomy code 174400000X

License

22091 Issued in OR

Practice address

14741 SW 109TH Avenue Apt 3
Tigard, OR 97224

Phone

(541) 786-8107

NPI assigned

Jun 7, 2016

Last updated

Jun 7, 2016By the provider in NPPES

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

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

• Iron Hands Sports Massage and Rehab, LLC

  • Massage Therapist
  • Wilsonville, OR
  • NPI 1780228247
  Authorized official Same address or phone

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1659720050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14741 SW 109TH AVE APT 3",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243211",
            "telephone_number": "541-786-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14741 SW 109TH AVENUE APT 3",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97224",
            "telephone_number": "541-786-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JESSEKA",
        "middle_name": "JEAN",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "22091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Cokeley, D.C.
• Ana Cole, PA
• Savannah Lynn Cole
• Candace Ayana Coleman-Davis
• Daniel J. Coleman
• Lovonna Collins
• Sherri Ann Colo'N, PSS, CRM
• Columbiacare Services (Greenburg)
• Columbiacare Services
• Columbiacare Services

• Specialist in Tigard, OR
• Providers in Tigard, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.