Kristi Dees Collins

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN168565 Issued in GA

Practice address

450B Washington Jackson Rd Ste 105
Eaton, OH 45320-7601

Phone

(937) 456-8350

Fax

(937) 456-8351

NPI assigned

Sep 26, 2014

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA, OH2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  Medicare reassignment NPD
• MPPG, Inc.

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1033131172
  Medicare reassignment NPD
• Wayne Hodges MD

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1346407061
  NPD (past)

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1821491473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450B WASHINGTON JACKSON RD STE 105",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453207601",
            "telephone_number": "937-456-8350",
            "fax_number": "937-456-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450B WASHINGTON JACKSON RD STE 105",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453207601",
            "telephone_number": "937-456-8350",
            "fax_number": "937-456-8351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11935 Abercorn St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31419",
            "country_code": "US",
            "telephone_number": "912-961-5726",
            "fax_number": "912-961-0679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEES COLLINS",
        "first_name": "KRISTI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN168565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdees711453@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "450B Washington Jackson Rd Ste 105",
            "city": "Eaton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453207601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "450B Washington Jackson Rd Ste 105",
            "city": "Eaton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453207601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darke County Recovery Services
• Joni A Davis, RN
• Michelle Davis, CDCA
• Elizabeth Ann Davison, LAT, ATC
• Dayton Osteopathic Hospital
• Stephen Spencer Deffner, MS, AT
• Deanyl Lycole Denlinger, FNP-BC
• Lola Dennis, PA-C
• Dent-Al Smiles of Eaton,LLC
• Kasidy Gail Depew, PA-C

• Family Nurse Practitioner in Eaton, OH
• Providers in Eaton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.

Verify at the official NPI Registry.