Active NPI
Michelle Sandy Collins, MS, ATC, LAT
- Athletic Trainer
- Baton Rouge, LA
National Provider Identifier
1710182191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATH.J00335
- Practice address
- 1 North Stadium Road
Lsu-Broussard Athletic Training Room
Baton Rouge, LA 70894 - Phone
- (225) 578-2496
- Fax
- (225) 578-3924
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATH.J00335 | LA | Primary |
Addresses
Primary practice location
1 North Stadium Road
Lsu-Broussard Athletic Training Room
Baton Rouge, LA 70894
Mailing address
4537 Rosedale Rd
Port Allen, LA 70767-4351
Phone (225) 268-1311
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATH.J00335 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710182191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4537 ROSEDALE RD",
"city": "PORT ALLEN",
"state": "LA",
"postal_code": "707674351",
"telephone_number": "225-268-1311",
"fax_number": "225-344-6836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NORTH STADIUM ROAD",
"address_2": "LSU-BROUSSARD ATHLETIC TRAINING ROOM",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70894",
"telephone_number": "225-578-2496",
"fax_number": "225-578-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MICHELLE",
"middle_name": "SANDY",
"name_prefix": "Mrs.",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "ATH.J00335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.