Organization Active NPI

Collaborative Health Partnership

  • Family Nurse Practitioner
  • Mars Hill, NC
National Provider Identifier
1821859455
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
COLLABORATIVE HEALTH PARTNERSHIP
Practice address
281 Laurel Valley Rd
Mars Hill, NC 28754-6787
Phone
(828) 551-2389
Fax
(207) 419-6302
NPI assigned
Jan 22, 2024
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Amy Beane, FNP-BC, RD, LDN, CDENPI 1700983756
Title
Authorized Official
Phone
(828) 551-2389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Registered Dietitian 133V00000X NU
Diabetes Educator Registered Nurse 163WD0400X NU
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

281 Laurel Valley Rd
Mars Hill, NC 28754-6787

Mailing address

281 Laurel Valley Rd
Mars Hill, NC 28754-6787
Phone (828) 551-2389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240319003280 NC Part B Supplier - Clinic/Group Practice 8820435498 Receives reassigned benefits from 1 practitioner
Practice locations: Mars Hill, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2297818Collaborative Health Partnership281 Laurel Valley Rd, Mars Hill, NC 28754Certificate of waiverJan 22, 2028

National Provider Directory

National Provider Directory

Locations

281 Laurel Valley Rd
Mars Hill, NC 28754
Phone (828) 490-6777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1821859455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 LAUREL VALLEY RD",
            "city": "MARS HILL",
            "state": "NC",
            "postal_code": "287546787",
            "telephone_number": "828-551-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 LAUREL VALLEY RD",
            "city": "MARS HILL",
            "state": "NC",
            "postal_code": "287546787",
            "telephone_number": "828-551-2389",
            "fax_number": "207-419-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE HEALTH PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "BEANE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "828-551-2389",
        "authorized_official_credential": "FNP-BC, RD, LDN, CDE"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mars Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.