Isabela Collins, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4935 Issued in FL

Practice address

40 Orange St
Saint Augustine, FL 32084-3633

Phone

(904) 547-8660

NPI assigned

Mar 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1992246128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 E ST APT B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804756",
            "telephone_number": "772-233-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ORANGE ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320843633",
            "telephone_number": "904-547-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Mendenwood Ln",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328264229",
            "country_code": "US",
            "telephone_number": "772-233-1548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ISABELA",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Joseph Colaluca, DC
• Brittany Cole, OT
• Audrey Becker Coleman, PA-C
• Erin Coletti, DO
• Casey R Colin, DCN, RDN, LN, CNSC
• Kayla Collins, OT
• Lacandace Collins, LMHC
• Ragan Collins, DC
• Marilu Colon, M.D.
• Nathalie J Colon

• Athletic Trainer in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.