Azalea

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

AZALEA

Practice address

805 S Broadway Ave
Tyler, TX 75701-1609

Phone

(903) 508-7520

Fax

(903) 630-5171

NPI assigned

Feb 29, 2024

Last updated

Feb 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Collins, FNPNPI 1548792369

Title

Partner

Phone

(903) 630-9170

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Collins, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1548792369
  NPD Authorized official

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1780441337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011609",
            "telephone_number": "903-508-7520",
            "fax_number": "903-630-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011609",
            "telephone_number": "903-508-7520",
            "fax_number": "903-630-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-630-9170",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madiha Ayaz, MD
• Nelly Ngweh Ayen, PHARMD
• Phillip Ayers
• Austilar Ayoka
• Macy Ayres, CPNP-PC
• Azalea Academy for Exceptional Adults
• Azalea Internal Medicine Associates PA
• Azalea Orthopedic & Sports Medicine Clinic PA
• Azalea Place Operating Company
• Samareh Cunningham Azar, MD

• Birthing Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Birthing Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.