Heather Collins

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

43538 Issued in ID

Practice address

1127 Caldwell Blvd
Nampa, ID 83651-1701

Phone

(208) 465-4935

NPI assigned

Sep 1, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1710655048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 CALDWELL BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511701",
            "telephone_number": "208-465-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 CALDWELL BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511701",
            "telephone_number": "208-465-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "43538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "43538",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.collins@prestigecare.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1127 Caldwell Blvd",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836511701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael A Codina, MD
• Samantha Lynn Colbert
• Kennedy Ann Cole
• Cynthia Coleman
• College of Western Idaho-Medical Express Care Clinic
• Communicare, Inc.
• Communicare, Inc.
• Communicare, Inc.
• Community Counseling Services LLC (Community Services Counseling LLC)
• Community Health Clinics, Inc (Terry Reilly Health Services)

• Registered Nurse in Nampa, ID
• Providers in Nampa, ID by specialty
• Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.