Kelly Christine Collins, NMD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

06-964 Issued in AZ

Practice address

42211 N 41St Dr. #A109
Phoenix, AZ 85086

Phone

(623) 399-8222

Fax

(623) 455-8872

NPI assigned

Jan 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1790174167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42211 N 41ST DR. #A109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-399-8222",
            "fax_number": "623-455-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42211 N 41ST DR. #A109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-399-8222",
            "fax_number": "623-455-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KELLY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "06-964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather L Collins, P.T.
• Hosea Collins Jr.
• Jacob Daniel Collins
• Jaquoya Collins
• Joseph Clyde Collins, DO
• Laura Joana Collins, MD
• Leigh Anne Collins, LCSW
• Lindell Y Collins, MD
• Lindsey Collins
• Melanie Collins, R.N.

• Dermatology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.