Individual provider Active NPI

Amanda Lynn Collier, D.C.

  • Chiropractor
  • Martinsburg, WV
National Provider Identifier
1740360023
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
825 Issued in WV
Practice address
51 Street of Dreams
Martinsburg, WV 25401-1134
Phone
(304) 263-4927
Fax
(304) 263-0682
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 825 WV Primary

Addresses

Primary practice location

51 Street of Dreams
Martinsburg, WV 25401-1134

Mailing address

51 Street of Dreams
Martinsburg, WV 25401-1134
Phone (304) 263-4927

Other identifiers 2

IdentifierTypeStateIssuer
3810005545MedicaidWV
693791OtherWVACN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000707 PA Practitioner - Chiropractic 4789628546 Practice locations: Berwick, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1715 W Front St
Berwick, PA 18603-4206
Phone (570) 759-2248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
825WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chambers Chiropractic Offices, C.C. Inc Chiropractor Past Accepting new patients
Greco Chiropractic, P.C. Chiropractor PastSince Feb 1, 2024 Accepting new patients
First Priority Medical Choice Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740360023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 STREET OF DREAMS",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011134",
            "telephone_number": "304-263-4927",
            "fax_number": "304-263-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STREET OF DREAMS",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011134",
            "telephone_number": "304-263-4927",
            "fax_number": "304-263-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005545",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN #",
            "identifier": "693791",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.