Vickie Renee Collins, APRN, BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN11917 Issued in TN

Practice address

1970 Jordan Ave NW
Cleveland, TN 37311-1900

Phone

(423) 790-7662

Fax

(423) 790-7664

NPI assigned

May 6, 2006

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

Other names 1

• Mrs. Vicki Renee Harper Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

At Home Primary Care IncGroup PAC ID 8325236953, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• At Home Primary Care Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Cleveland, TN
  • NPI 1891096061
  Medicare reassignment Care Compare group NPD
• Doctors Home Visits, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Chattanooga, TN
  • NPI 1215112891
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bradley Medical Center, LLC

  • General Acute Care Hospital
  • Cleveland, TN
  • NPI 1255171096
  Care Compare affiliation

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1972552198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 JORDAN AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111900",
            "telephone_number": "423-790-7662",
            "fax_number": "423-790-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 JORDAN AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111900",
            "telephone_number": "423-790-7662",
            "fax_number": "423-790-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "VICKIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN11917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "HARPER",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Elizabeth Cole
• Jerry Coleman II, N.P
• Ronald Sherman Coleman, M.D.
• Justin Collins, RDN
• Larry Coy Collins, M.D.
• Com-Rad Mobile Imaging, LLC
• Common Illness Clinic LLC
• Community Anesthesia, PC
• Community Care Clinic LLC
• Community Direct Primary Care

• Adult Health Nurse Practitioner in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.