Individual provider Active NPI

Sandra Diane Collier, CNP

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1760583686
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA 08592 Issued in OH
Practice address
211 15TH St NW
Canton, OH 44703-1704
Phone
(330) 455-0800
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA 08592 OH Primary

Addresses

Primary practice location

211 15TH St NW
Canton, OH 44703-1704

Mailing address

2185 Beechmoor Dr NW
North Canton, OH 44720-5853
Phone (330) 966-7506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070405000011 OH Practitioner - Nurse Practitioner 7618071341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Flower Family PracticeGroup PAC ID 9638167687, 2 clinicians

Practice addresses (Care Compare)

211 15TH St NW
Canton, OH 44703-1704
Phone (330) 455-0800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA 08592OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Flower Family Practice CurrentSince Nov 4, 2005 Accepting new patients

Locations

211 15th St NW
Canton, OH 44703
Phone (216) 455-0800

Interoperability endpoints

  • Direct secure messaging: sdcolliercnp@littleflowerfp.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760583686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 BEECHMOOR DR NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447205853",
            "telephone_number": "330-966-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 15TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447031704",
            "telephone_number": "330-455-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "SANDRA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 08592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.