Active NPI
Jane Ann Smith Collins, LPN
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Bridgeville, PA
National Provider Identifier
1972740587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- PN093038L
- Practice address
- 3117 Washington Pike
Suite #200
Bridgeville, PA 15017-1434 - Phone
- (412) 221-1091
- Fax
- (412) 221-2939
- NPI assigned
- Jan 20, 2009
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | PN093038L | PA | Primary |
Addresses
Primary practice location
3117 Washington Pike
Suite #200
Bridgeville, PA 15017-1434
Mailing address
3117 Washington Pike
Suite #200
Bridgeville, PA 15017-1434
Phone (412) 221-1091
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN093038L | PA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Healthcare Services | Past | Accepting new patients | |
| Freedom Healthcare Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Bridgeville, PA
- NPI 1205079084
-
- Community/Behavioral Health Agency
- Bridgeville, PA
- NPI 1427363605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1972740587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 WASHINGTON PIKE",
"address_2": "SUITE #200",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150171434",
"telephone_number": "412-221-1091",
"fax_number": "412-221-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 WASHINGTON PIKE",
"address_2": "SUITE #200",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150171434",
"telephone_number": "412-221-1091",
"fax_number": "412-221-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH COLLINS",
"first_name": "JANE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "PA",
"license": "PN093038L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.