Active NPI
Cierra Collier, DO
- Social Worker
- Waterford, MI
National Provider Identifier
1730753104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 279 Summit Dr
Waterford, MI 48328-3364 - Phone
- (248) 745-4900
- NPI assigned
- May 19, 2021
- Last updated
- May 19, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
279 Summit Dr
Waterford, MI 48328-3364
Mailing address
654 Newman LN
Pontiac, MI 48340-3300
Phone (248) 873-8608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C460-116-116-964 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | 248-873-8608 |
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
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1730753104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 NEWMAN LN",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483403300",
"telephone_number": "248-873-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 SUMMIT DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283364",
"telephone_number": "248-745-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "CIERRA",
"name_prefix": "Miss",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C460-116-116-964",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "248-873-8608",
"affiliation": "N",
"address_1": "279 Summit Dr",
"city": "Waterford",
"state": "MI",
"country_code": "US",
"postal_code": "483283364",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.