Laurie Collis, DNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP135587 Issued in TX

Practice address

7400 Merton Minter St
San Antonio, TX 78229-4404

Phone

(613) 582-7700

NPI assigned

Oct 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Fargo, ND
  • NPI 1962856161

  TX

  Medicare reassignment NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Pam Squared at Dover LLC

  • Rehabilitation Hospital
  • Dover, DE
  • NPI 1295221372
  NPD (past)

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1922510320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 JAMES ST",
            "city": "INEZ",
            "state": "TX",
            "postal_code": "779683631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "613-582-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIS",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP135587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Collins, LPC
• Terry L. Collins, M.D.
• Toni Collins
• Dana Collinsworth
• Klaus Dieter Collinsworth, D.D.S
• Colmex Home Care, LLC
• Colon & Rectal Surgical Associates of San Antonio, P.a.
• Wilmarie Colon-Burgos
• Bryan Joseph Colon, PT, DPT, MBA
• Kristi Colon

• Primary Care Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.