BRENDA R. COLLINS (NPI# 1750730966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750730966 |
| Entity Type | Individual |
| Full Name | BRENDA R. COLLINS |
| Credential | AGPCNP-BC |
| Practice Address |
100 Lake Traverse Dr Sisseton SD 57262-7046 |
| Mailing Address |
510 4th St S Fargo ND 58103-1914 |
| Practice Telephone | 6056987606 |
| Practice Fax Number | 6057420182 |
| Mailing Telephone | 7014767823 |
| Mailing Fax Number | 7014767261 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CP001226 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R32069 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396970828 | Brenda Collins | Nurse Practitioner | 95 State St Ste 201, Springfield, MA 01103-2073 | 2009-05-28 |
| 1588898142 | Brenda L Collins | Contractor | 21 Newtons Corner Rd, Howell, NJ 07731-2636 | 2009-05-12 |
| 1083760037 | Brenda M Collins | Physical Therapist | 16280 Se 88th Ave, Summerfield, FL 34491-7037 | 2007-01-25 |
| 1992703441 | Brenda Joyce Collins | Specialist | 2940 Broadway Blvd, Suite 107, Garland, TX 75041-3776 | 2005-07-08 |
| 1609347665 | Brenda Collins | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2018-12-16 |
| 1013405331 | Brenda Louise Collins | Counselor | 6701 Heritage Pkwy Ste 170, Rockwall, TX 75087-8798 | 2018-04-23 |
| 1861930851 | Brenda Faye Collins | Nurse Practitioner | 2045 Highway 61 N, Port Gibson, MS 39150-4262 | 2017-02-09 |
| 1548623614 | Brenda Collins | Counselor | 2504 Browning Road 520, Greenwood, MS 38930-6022 | 2016-04-05 |
| 1609994391 | Brenda J Collins | Dietitian, Registered | 315 Holton Ave, Suite 100, Yakima, WA 98902-3254 | 2007-03-27 |
| Street Address |
100 LAKE TRAVERSE DR |
| City | SISSETON |
| State | SD |
| Zip Code | 57262-7046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672248 | Harvey H Baker | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2005-07-08 |
| 1275143315 | Kayley Perkins | Pharmacist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2020-08-04 |
| 1518575174 | Lindsay Dawn Peterson | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2020-07-20 |
| 1629692868 | Patricia Nicole Roth | Counselor | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2020-06-03 |
| 1306487475 | Leah Lorena Federico Rumans | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2019-09-30 |
| 1437718616 | Sherrie Renae Lee | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2019-06-11 |
| 1942770078 | Jennifer Elizabeth Hanson | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2018-12-02 |
| 1376037721 | Jaimi Lynn Pochant | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2018-06-19 |
| 1790274074 | Ferdinand Ekwutosi Enudu | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2018-05-02 |
| 1881102010 | Jasmine Shanae Hypolite | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262 | 2018-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780149864 | Lewis Family Drug, LLC | Pharmacy | 925 Sd Hwy 10, Sisseton, SD 57262 | 2019-02-04 |
| 1346734696 | Sisseton-wahpeton Oyate | Private Vehicle | 12554 Bia Hwy 711, Agency Village, SD 57262 | 2018-06-20 |
| 1902106925 | Deborah Pauline Francis | Pharmacist | 1712 Sd Hwy 12, Pamida Pharmacy, Sisseton, SD 57262 | 2010-10-25 |
| 1508001322 | Trina Marie Cleveland | Registered Nurse | 44942 125th Street, Sisseton, SD 57262 | 2008-12-08 |
| 1467427625 | John Thomas Zimmer | Dentist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2006-02-21 |
| 1720634132 | Leah Adele Weiss | Pharmacist | 100 Lake Traverse Drive, Attn: Pharmacy, Sisseton, SD 57262 | 2019-08-12 |
| 1568906808 | Joshua S Satlak | Pharmacist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2016-12-06 |
| 1205278579 | Katie Elaine Bragg | Registered Nurse | 100 Lake Traverse Drive, Wwkmhcc Indian Health Service, Sisseton, SD 57262 | 2013-07-26 |
| 1497070080 | James Brian Moeller | Spec/Tech, Pathology | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2010-04-07 |
| 1619063757 | Valinda Jeanne Redwing White | Nutritionist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2006-10-05 |
| Find all providers in zip 57262 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902391287 | Alison Serck | Nurse Practitioner | 4201 S Minnesota Ave Ste 112, Sioux Falls, SD 57105-6706 | 2018-06-28 |
| 1457327702 | Kristine I Gaster | Nurse Practitioner | 1000 E. 21st St., Ste. 1200, Sioux Falls, SD 57105 | 2006-02-27 |
| 1275162430 | Tessah Renee Bien | Nurse Practitioner | 403 W Broad Ave, Flandreau, SD 57028-1630 | 2020-04-08 |
| 1235770231 | Christopher Gacke | Nurse Practitioner | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2019-10-01 |
| 1811431877 | Megan Merkel | Nurse Practitioner | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2016-12-10 |
| 1780134023 | Andrew Jacob Murtha | Nurse Practitioner | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | 2016-10-11 |
| 1689028763 | Angela M Ratzsch | Nurse Practitioner | 640 Flormann St, Rapid City, SD 57701-4679 | 2016-04-14 |
| 1477919421 | Elizabeth Lapp | Nurse Practitioner | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2016-01-06 |
| 1497139323 | Amber Victoria Staedtler | Nurse Practitioner | 4141 5th St, Rapid City, SD 57701-6021 | 2015-07-09 |
| 1003203456 | Jacklyn Ann Karli | Nurse Practitioner | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2015-04-23 |
| Find all providers with the same taxonomy | ||||
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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.