MISTIE HOLLY COLLINS (NPI# 1104128651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104128651 |
| Entity Type | Individual |
| Full Name | MISTIE HOLLY COLLINS |
| Credential | APRN |
| Practice Address |
2900 Chancellor Dr Crestview Hills KY 41017 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8593410228 |
| Practice Fax Number | 8593417482 |
| Mailing Telephone | 8593410288 |
| Mailing Fax Number | 8593417482 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1101565 | KY | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 3006752 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
6752P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.11948-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | P00920266 | 01 |
| KY | 7100167790 | 05 | |
| OH | 0052835 | 05 | |
| KY | RAIL ROAD MEDICARE | P00954943 | 01 |
| Street Address |
2900 CHANCELLOR DR |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619978418 | Del A Burchell | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2005-08-03 |
| 1144638842 | Melissa Renee Brueggemann | Nurse Practitioner | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2014-07-25 |
| 1104852201 | Julie Jordan | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2006-06-23 |
| 1578508271 | Kara Shay | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2006-06-17 |
| 1861445504 | Internal Medicine Associates of Northern Kentucky | Internal Medicine | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2006-05-17 |
| 1770531444 | Theresa R Koester | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2006-05-05 |
| 1982664264 | Mark Stephen Meier | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2006-03-23 |
| 1700878162 | Christopher A Heeb | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2005-08-22 |
| 1811989288 | Terry A Mcdannold | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2005-08-22 |
| 1518959865 | Thomas O'connell | Internal Medicine | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2005-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532624 | Jennifer Malmstrom | Nurse Practitioner | 380 Centre View Blvd, Crestview Hills, KY 41017-3476 | 2005-07-19 |
| 1174528392 | Kendall E Hansen Md Plc | Nurse Practitioner | 340 Thomas More Pkwy., Ste. 260, Crestview Hills, KY 41017-5117 | 2005-06-15 |
| 1942820444 | Sithandiwe Mamutse | Nurse Practitioner | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2020-04-24 |
| 1245866425 | Dawn Danette Peak | Nurse Practitioner | 340 Thomas More Pkwy Ste 260, Crestview Hills, KY 41017-5117 | 2020-03-19 |
| 1104463793 | Shannon Bowen | Nurse Practitioner | 651 Centre View Boulevard, Crestview Hills, KY 41017-5423 | 2019-12-03 |
| 1790322444 | Jennifer Suzanne Heminger | Nurse Practitioner | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2019-12-02 |
| 1962048694 | Kelsey Downton | Nurse Practitioner | 340 Thomas More Pkwy Ste 260, Crestview Hills, KY 41017-5117 | 2019-11-18 |
| 1881251866 | Nikol Ellison | Nurse Practitioner | 340 Thomas More Pkwy Ste 260, Crestview Hills, KY 41017-5117 | 2019-05-24 |
| 1649733510 | Jamie E. C. Krusling | Nurse Practitioner | 2670 Chancellor Drive, Crestview Hills, KY 41017-5466 | 2019-04-09 |
| 1215496385 | Natasha Radic | Nurse Practitioner | 2845 Chancellor Dr, Crestview Hills, KY 41017 | 2019-03-18 |
| Find all providers in CRESTVIEW HILLS | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.