Active NPI
Diane Collins, RD
- Registered Dietitian
- Monroe, MI
National Provider Identifier
1750626099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 720866
- Practice address
- 700 Stewart Rd
Suite 105
Monroe, MI 48162-5304 - Phone
- (734) 240-1813
- Fax
- (734) 240-1892
- NPI assigned
- Nov 27, 2012
- Last updated
- Nov 27, 2012
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 720866 | MI | Primary |
Addresses
Primary practice location
700 Stewart Rd
Suite 105
Monroe, MI 48162-5304
Mailing address
718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720866 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Memorial Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 1
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": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1750626099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 N MACOMB ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481627815",
"telephone_number": "734-240-8400",
"fax_number": "734-240-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 STEWART RD",
"address_2": "SUITE 105",
"city": "MONROE",
"state": "MI",
"postal_code": "481625304",
"telephone_number": "734-240-1813",
"fax_number": "734-240-1892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "720866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.