Active NPI
Andrea White Collins, CRNP
- Family Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1750536975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-054515
- Practice address
- 1020 26TH St S Ste 100
Birmingham, AL 35205-2412 - Phone
- (205) 332-3155
- NPI assigned
- Dec 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-054515 | AL | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 1-054515 | AL |
Addresses
Primary practice location
1020 26TH St S Ste 100
Birmingham, AL 35205-2412
Mailing address
122 Mary Ann LN
Trussville, AL 35173-4201
Phone (205) 467-7502
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051117859 | Other | AL | BCBS |
| 129200 | Medicaid | AL | |
| 129199 | Medicaid | AL | |
| 051117857 | Other | AL | BCBS |
| 051117858 | Other | AL | BCBS |
| 01985718 | Medicaid | MS | |
| 129198 | Medicaid | AL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-054515 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1750536975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 MARY ANN LN",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351734201",
"telephone_number": "205-467-7502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 26TH ST S STE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352052412",
"telephone_number": "205-332-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ANDREA",
"middle_name": "WHITE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-054515",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-054515",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117859",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129200",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129199",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117857",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117858",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01985718",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129198",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.