Collins Complete Family Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP133658 Issued in TX

Legal business name

COLLINS COMPLETE FAMILY CARE

Practice address

1910 E SE Loop 323 # 176
Tyler, TX 75701

Phone

(903) 630-9170

NPI assigned

Apr 12, 2017

Last updated

Jul 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth CollinsNPI 1548792369

Title

FNP

Phone

(903) 630-9170

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Collins, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1548792369
  Authorized official Same address or phone

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1962936369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E SE LOOP 323 # 176",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018337",
            "telephone_number": "903-630-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E SE LOOP 323 # 176",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-630-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS COMPLETE FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "903-630-9170"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548792369",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Collier, LPC
• David Andrew Collier, RN
• James Lane Collier, CRNA
• Kristen Collier
• Collins Bros., Inc.
• Collins Complete Familycare LLC
• Adrienne Collins
• Briana Collins
• Elizabeth Collins, FNP-C
• Lester Blackshear Collins III, M.D. P.C.

• Family Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.