Individual provider Active NPI

Patricia J Collins, L.M.T.

  • Specialist
  • Juneau, AK
National Provider Identifier
1831556794
Registry record updated Jan 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
101177 Issued in AK
Practice address
174 S Franklin St
Suite 105
Juneau, AK 99801-1362
Phone
(907) 209-5117
NPI assigned
Jan 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 101177 AK Primary

Addresses

Primary practice location

174 S Franklin St
Suite 105
Juneau, AK 99801-1362

Mailing address

5300 N Douglas Hwy
Juneau, AK 99801-9474
Phone (907) 209-5117

Other identifiers 1

IdentifierTypeStateIssuer
101177OtherAKSTATE OF ALASKA OCCUPATIONAL LICENSE NUMBER

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

State licenses

LicenseStateTypeSpecialty
101177AKMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1453593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453593600000",
    "number": "1831556794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N DOUGLAS HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019474",
            "telephone_number": "907-209-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S FRANKLIN ST",
            "address_2": "SUITE 105",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011362",
            "telephone_number": "907-209-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-24",
        "last_updated": "2016-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AK",
            "license": "101177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA OCCUPATIONAL LICENSE NUMBER",
            "identifier": "101177",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.