Active NPI
Kathleen P Collins, M.D.
- Pediatric Rheumatology Physician
- Memphis, TN
National Provider Identifier
1780927855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rheumatology Physician
- License
- 59416
- Practice address
- 51 N Dunlap St
Memphis, TN 38105 - Phone
- (901) 287-7337
- NPI assigned
- Mar 27, 2013
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A142341 | CA | |
| Pediatric Rheumatology Physician | 2080P0216X | 59416 | TN | Primary |
Addresses
Primary practice location
51 N Dunlap St
Memphis, TN 38105
Mailing address
850 Poplar Ave BLDG 2
Memphis, TN 38105-4607
Phone (901) 287-5565
Other practice location 1
730 Welch Rd
Palo Alto, CA 94304-1503
Phone (650) 723-8295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A142341 | CA | MD | Pediatrics Physician |
Interoperability endpoints
- kcollins28262@mlh.direct-ci.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.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1780927855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 POPLAR AVE BLDG 2",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381054607",
"telephone_number": "901-287-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N DUNLAP ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38105",
"telephone_number": "901-287-7337"
}
],
"practiceLocations": [
{
"address_1": "730 Welch Rd",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041503",
"country_code": "US",
"telephone_number": "650-723-8295",
"fax_number": "650-736-4344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "KATHLEEN",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A142341",
"primary": false
},
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "TN",
"license": "59416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.