Active NPI
Kimberly Beth Collins, RN
- School Registered Nurse
- Clayton, DE
National Provider Identifier
1861797359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- L1-0035856
- Practice address
- 273 W Duck Creek Rd
Clayton, DE 19938-7719 - Phone
- (302) 653-6276
- NPI assigned
- Jan 14, 2011
- Last updated
- Jan 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | L1-0035856 | DE | Primary |
Addresses
Primary practice location
273 W Duck Creek Rd
Clayton, DE 19938-7719
Mailing address
273 W Duck Creek Rd
Clayton, DE 19938-7719
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0035856 | DE | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Creek Academy Charter School
- Local Education Agency (LEA)
- Clayton, DE
- NPI 1881738599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1861797359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 W DUCK CREEK RD",
"city": "CLAYTON",
"state": "DE",
"postal_code": "199387719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 W DUCK CREEK RD",
"city": "CLAYTON",
"state": "DE",
"postal_code": "199387719",
"telephone_number": "302-653-6276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "KIMBERLY",
"middle_name": "BETH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-14",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "DE",
"license": "L1-0035856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.