Individual provider Active NPI

Tiffany Collins, NP

  • Nurse Practitioner
  • Lincoln, RI
National Provider Identifier
1831185214
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN00582 Issued in RI
Practice address
6 Blackstone Valley PL
Suite 701
Lincoln, RI 02865-1179
Phone
(401) 333-3111
Fax
(401) 334-1217
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN00582 RI Primary

Addresses

Primary practice location

6 Blackstone Valley PL
Suite 701
Lincoln, RI 02865-1179

Mailing address

10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000

Other identifiers 4

IdentifierTypeStateIssuer
29051OtherRIBCBS OF RI
709004044OtherRIMEDICARE GROUP
7057441MedicaidRI
41206OtherRIBLUE CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20110413000055 RI Practitioner - Nurse Practitioner 4789624065 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital Nurse Practitioner CurrentSince Mar 17, 2024 Accepting new patients
The Miriam Hospital CurrentSince Mar 17, 2024 Accepting new patients
Coastal Medical, Inc PastSince Jan 1, 1990 Accepting new patients
Coastal Medical Sleep Disorders Center PastSince Jan 1, 1990 Accepting new patients
Coastal Medical, Inc. PastSince Jan 1, 1990 Accepting new patients
Coastal Medical, Inc. PastSince Jan 1, 1990 Accepting new patients
Coastal Care PastSince Jan 1, 1990 Accepting new patients

Locations

6 Blackstone Valley Pl
Ste 701
Lincoln, RI 02865
Phone (401) 333-3111

164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931

208 Collyer St
Ste 300
Providence, RI 02904
Phone (401) 793-2960

Organizations & group practices 7

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1831185214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "address_2": "SUITE 701",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-333-3111",
            "fax_number": "401-334-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TIFFANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN00582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "29051",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "709004044",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7057441",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "41206",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.