Individual provider Active NPI

Lea Trimm Collins, FNP-BC

  • Family Nurse Practitioner
  • Fairhope, AL
National Provider Identifier
1801238795
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-122061 Issued in AL
Practice address
21875 State Highway 181
Fairhope, AL 36532-4481
Phone
(251) 928-1442
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-122061 AL Primary

Addresses

Primary practice location

21875 State Highway 181
Fairhope, AL 36532-4481

Mailing address

21875 State Highway 181
Fairhope, AL 36532-4481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130918000186 AL Practitioner - Nurse Practitioner 4688818404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
N Bruce Blaum DMD Magd LLC PastSince Sep 4, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lea.collins@ffml.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGHDAA/Endpoint/BGHDAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1801238795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21875 STATE HIGHWAY 181",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21875 STATE HIGHWAY 181",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324481",
            "telephone_number": "251-928-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LEA",
        "middle_name": "TRIMM",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-122061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.