Carrie Collins, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.000738 Issued in MO

Practice address

201 S 14TH St
Herrin, IL 62948-3631

Phone

(618) 942-2171

NPI assigned

Sep 29, 2008

Last updated

Feb 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Carrie Kathleen Collins-Bowen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1790935633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SIH PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62902",
            "telephone_number": "618-942-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 14TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483631",
            "telephone_number": "618-942-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CARRIE",
        "name_prefix": "Ms.",
        "credential": "MS SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "242.000738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005830",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "COLLINS-BOWEN",
            "middle_name": "KATHLEEN",
            "prefix": "MRS.",
            "credential": "MS SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Dawn Chullen, DC
• Hollis Johnson Clark Jr., P.A.-C.
• Jaime Ann Clark, PH.D.
• Tiffany Colborn, NP
• Jennifer Ann Colboth, M.P.T.
• Elaine B Combs, DEVELOPMENTAL THERAP
• Complete Family Eyecare, PC
• David Stefan Constantinescu, MD
• Erik Cornett
• Michael Cosimi, D.M.D., M.S.

• Speech-Language Pathologist in Herrin, IL
• Providers in Herrin, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.