Individual provider Active NPI

Nancy Collick

  • Emergency Care Certified Respiratory Therapist
  • Georgetown, DE
National Provider Identifier
1700268034
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Certified Respiratory TherapistTaxonomy code 2278E0002X
License
C9-0000074 Issued in DE
Practice address
26351 Patriots Way
Georgetown, DE 19947-2575
Phone
(302) 933-3000
NPI assigned
Jun 23, 2015
Last updated
Jun 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Certified Respiratory Therapist 2278E0002X C9-0000074 DE Primary

Addresses

Primary practice location

26351 Patriots Way
Georgetown, DE 19947-2575

Mailing address

30347 S Mill Run
Milton, DE 19968-3455

Other identifiers 1

IdentifierTypeStateIssuer
C9-0000074OtherDECERTIFIED RESPIRATORY THERAPIST

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

LicenseStateTypeSpecialty
C9-0000074DEMDEmergency Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1700268034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30347 S MILL RUN",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26351 PATRIOTS WAY",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472575",
            "telephone_number": "302-933-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLICK",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Emergency Care",
            "state": "DE",
            "license": "C9-0000074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED RESPIRATORY THERAPIST",
            "identifier": "C9-0000074",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.