Individual provider Active NPI

Edward Allen Collier II, CNP

  • Acute Care Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1679983027
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
219028 Issued in LA
Practice address
4213 Teuton St
Metairie, LA 70006-4123
Phone
(504) 327-5857
Fax
(504) 324-3569
NPI assigned
May 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN347183 OH
Acute Care Nurse Practitioner 363LA2100X ARNP9441584 FL
Acute Care Nurse Practitioner 363LA2100X COA.16306-NP OH
Acute Care Nurse Practitioner 363LA2100X 219028 LA Primary

Addresses

Primary practice location

4213 Teuton St
Metairie, LA 70006-4123

Mailing address

4213 Teuton St
Metairie, LA 70006-4123
Phone (504) 327-5857

Other practice location 1

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-4000

Other identifiers 1

IdentifierTypeStateIssuer
019294400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161221002037 FL Practitioner - Nurse Practitioner 6709003775 Reassigns benefits to 1 organization
I20211014002496 LA Practitioner - Nurse Practitioner 6709003775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN347183OHMDRegistered Nurse
COA.16306-NPOHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Associates LLC CurrentSince Jan 9, 2017 Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients

Locations

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1679983027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 TEUTON ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064123",
            "telephone_number": "504-327-5857",
            "fax_number": "504-324-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 TEUTON ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064123",
            "telephone_number": "504-327-5857",
            "fax_number": "504-324-3569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Houma Blvd",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700062970",
            "country_code": "US",
            "telephone_number": "504-503-4000",
            "fax_number": "504-503-5667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "EDWARD",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2022-05-10",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN347183",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9441584",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.16306-NP",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "219028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019294400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.