Active NPI
Andrew Lane Collins
- Occupational Health Registered Nurse
- Independence, MO
National Provider Identifier
1669106647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Registered Nurse
- License
- 121079
- Practice address
- 25201 E. 78 Hwy
Independence, MO 64056 - Phone
- (816) 796-7307
- Fax
- (816) 796-7305
- NPI assigned
- Jul 14, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Health Registered Nurse | 163WX0106X | 121079 | MO | Primary |
Addresses
Primary practice location
25201 E. 78 Hwy
Independence, MO 64056
Mailing address
25201 E. 78 Hwy
Independence, MO 64056
Phone (816) 796-7307
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121079 | MO | MD | Occupational Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1669106647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25201 E. 78 HWY",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "64056",
"telephone_number": "816-796-7307",
"fax_number": "816-796-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25201 E. 78 HWY",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "64056",
"telephone_number": "816-796-7307",
"fax_number": "816-796-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ANDREW",
"middle_name": "LANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "MO",
"license": "121079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.