Active NPI
Collaborative Health Partnership
- Family Nurse Practitioner
- Mars Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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, CDE
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2297818 | Collaborative Health Partnership | Certificate of waiver | Jan 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Mars Hill, NC
- NPI 1700983756
Dietitian, Registered
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.