Active NPI
Deborah Ann Collins, MS RD LD CDE
- Registered Dietitian
- Wheatland, WY
National Provider Identifier
1770905978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 15
- Practice address
- 201 14TH St
Wheatland, WY 82201-3201 - Phone
- (307) 322-3636
- Fax
- (307) 322-5720
- NPI assigned
- Jan 8, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 15 | WY | Primary |
Addresses
Primary practice location
201 14TH St
Wheatland, WY 82201-3201
Mailing address
201 14TH St
Wheatland, WY 82201-3201
Phone (307) 322-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140322000215 | WY | Practitioner - Registered Dietitian Or Nutrition Professional | 1850522574 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15 | WY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital | Current | Accepting new patients |
Locations
625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801
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.
-
- Multi-Specialty Clinic/Center
- Torrington, WY
- NPI 1164950036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1770905978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 14TH ST",
"city": "WHEATLAND",
"state": "WY",
"postal_code": "822013201",
"telephone_number": "307-322-3636",
"fax_number": "307-322-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 14TH ST",
"city": "WHEATLAND",
"state": "WY",
"postal_code": "822013201",
"telephone_number": "307-322-3636",
"fax_number": "307-322-5720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "MS RD LD CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-08",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WY",
"license": "15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheatland, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.