Active NPI
Celestine Collins, PCA/ M.A.
- Voluntary or Charitable Agency
- Las Vegas, NV
National Provider Identifier
1801426903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Practice address
- 3370 S Pecos Rd
Las Vegas, NV 89121-3747 - Phone
- (702) 689-1508
- NPI assigned
- Jan 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | 770428778 | NV | |
| Lodging Provider | 177F00000X | 770428778 | NV | |
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
3370 S Pecos Rd
Las Vegas, NV 89121-3747
Mailing address
3370 S Pecos Rd
Las Vegas, NV 89121-3747
Phone (702) 689-1508
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | celeste@innovativeconcept.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 770428778 | NV | MD | Lodging Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1801426903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3370 S PECOS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213747",
"telephone_number": "702-689-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3370 S PECOS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213747",
"telephone_number": "702-689-1508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "CELESTINE",
"credential": "PCA/ M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-17",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NV",
"license": "770428778",
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "NV",
"license": "770428778",
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "celeste@innovativeconcept.org",
"affiliation": "N",
"endpointDescription": "email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3370 S Pecos Rd",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891213747",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.