Zacahreah Saleem Collins, SIR

Primary specialty

Environmental Modification Occupational Therapy AssistantTaxonomy code 224ZE0001X

License

224ZE604607126X Issued in WA

Practice address

314 Albert St
New Iberia, LA 70560-4849

Phone

(206) 476-7292

NPI assigned

May 18, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1861139057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SW 108TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981462192",
            "telephone_number": "206-476-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ALBERT ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604849",
            "telephone_number": "206-476-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ZACAHREAH",
        "middle_name": "SALEEM",
        "name_prefix": "Mr.",
        "credential": "SIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "WA",
            "license": "224ZE604607126X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://yllo.co/zoodid",
            "affiliation": "N",
            "endpointDescription": "Direct Privately Encrypted Secure",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Encrypted Secure Messaging & alternative form of Payment Network",
            "address_1": "Where abouts of Self",
            "city": "any Current Location",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latresha Renea Colar
• Dominique Cole
• Gregory Collins, M.D.
• Laura L Collins, LMT
• Stephen A Collins, MD
• Blake A. Comeaux, D.D.S
• Noelle Comeaux, RDN, LDN
• Community Care Assistants LLC
• Compassion Community Serv LLC
• Compassion Community Serv LLC

• Occupational Therapy Assistant in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Occupational Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.