Individual provider Active NPI

Deborah Ann Collins, APRN, NP-C, BCBA

  • Family Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1740282458
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2961972 Issued in FL
Practice address
1701 Military TRL Ste 142
Jupiter, FL 33458-6325
Phone
(561) 480-8820
Fax
(561) 242-1726
NPI assigned
Aug 12, 2005
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2961972 FL Primary
Behavior Analyst 103K00000X 1-21-54618 FL

Addresses

Primary practice location

1701 Military TRL Ste 142
Jupiter, FL 33458-6325

Mailing address

12300 Highway A1A Alt
Suite 112
Palm Beach Gardens, FL 33410-2205
Phone (561) 803-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150831000089 FL Order and Referring Only - Nurse Practitioner 2365461639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2961972FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Project Hope Autism Services Behavior Analyst CurrentSince Nov 21, 2021 Accepting new patients
Jove Medical, Inc. Past Accepting new patients
Hope Health & Wellness Inc PastSince Mar 2, 2009 Accepting new patients

Locations

1701 Military Trl
Ste 142
Jupiter, FL 33458
Phone (561) 242-1725

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1740282458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 HIGHWAY A1A ALT",
            "address_2": "SUITE 112",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102205",
            "telephone_number": "561-803-7600",
            "fax_number": "561-803-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MILITARY TRL STE 142",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586325",
            "telephone_number": "561-480-8820",
            "fax_number": "561-242-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "APRN, NP-C, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2961972",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-54618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.