AMANDA NICOLE COLLINS (NPI# 1790953420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790953420 |
| Entity Type | Individual |
| Full Name | AMANDA NICOLE COLLINS |
| Credential | PA-C |
| Practice Address |
238 Brookley Avenue Bolling Afb DC 22032 |
| Mailing Address |
3846 Dominion Mill Dr Alexandria VA 22304-6452 |
| Practice Telephone | 2024047932 |
| Mailing Telephone | 7193389361 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2012-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774425 | Amanda Rene Collins | Contractor | 11905 N Guinevere Dr, Spokane, WA 99218-1715 | 2019-08-05 |
| 1043785256 | Amanda Nicole Collins | Behavior Technician | 320 S Harrison St Apt 7e, East Orange, NJ 07018-1323 | 2018-10-04 |
| 1730626524 | Amanda Collins | Counselor | 1701 W St Marys Rd Ste 160, Tucson, AZ 85745-5330 | 2017-01-31 |
| 1356740518 | Amanda Collins | Counselor | 703 S Elmer Ave Ste 115, Sayre, PA 18840-2400 | 2014-08-13 |
| 1245669142 | Amanda Collins | Registered Nurse | 19311 Chloe Layne Rd, Spiro, OK 74959-4269 | 2013-11-01 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| 1487967824 | Amanda Lyn Collins | Massage Therapist | 1219 Sw Main Blvd, Lake City, FL 32025-6685 | 2010-07-14 |
| 1699932236 | Amanda Collins | Social Worker | 7981 Imperial Treasure St, Las Vegas, NV 89139-6239 | 2008-05-21 |
| 1366648735 | Amanda Collins | Physician Assistant | Northwest Corrections, Tiptonville, TN 38079 | 2007-06-22 |
| 1154542074 | Amanda Collins | Dental Hygienist | 1844 E 9400 S, Sandy, UT 84093-3000 | 2007-05-01 |
| Street Address |
238 BROOKLEY AVENUE |
| City | BOLLING AFB |
| State | DC |
| Zip Code | 22032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275544405 | John Lloyd Chitwood | Physician Assistant | 238 Brookley Avenue, Bolling Afb, DC 20332 | 2006-08-11 |
| 1710180229 | Hye Yong Choe | Student in an Organized Health Care Education/Training Program | 238 Brookley Avenue, Bolling Afb, DC 20332 | 2007-06-11 |
| 1669566261 | Susan G Eckberg | Social Worker | 238 Brookley Avenue, Bldg 1300, Ste 259, Bolling Afb, DC 20032-0101 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
| 1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
| 1104167212 | Inova Health Care Services | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2013-03-14 |
| 1770835993 | Catherine A Groden | Nurse Practitioner | 10301 New Guinea Rd, Target, Fairfax, VA 22032 | 2012-10-11 |
| Find all providers in zip 22032 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962515684 | Todd Gray | Physician Assistant | 268 Brookley Ave, Bolling Afb, DC 20032 | 2006-08-16 |
| 1275544405 | John Lloyd Chitwood | Physician Assistant | 238 Brookley Avenue, Bolling Afb, DC 20332 | 2006-08-11 |
| 1427519891 | Erin Beaver | Physician Assistant | 238 Brookley Ave Sw, Bolling Afb, DC 20032-7704 | 2019-03-28 |
| 1083601389 | Lauren S. Hicks | Physician Assistant | 238 Brookley Ave, Bolling Afb, DC 20332-0001 | 2005-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487370 | Rachel Alexis Solomon | Physician Assistant | 1920 L St Nw Ste 350, Washington, DC 20036-5004 | 2020-08-14 |
| 1740805175 | Alexandra Fraser | Physician Assistant | 1125 11th St Nw Apt 204, Washington, DC 20001-6420 | 2020-06-11 |
| 1699399162 | Enrique Manriquez | Physician Assistant | 2413 39th Pl Nw, Washington, DC 20007-1702 | 2020-06-01 |
| 1710510565 | Peter Bourland | Physician Assistant | 130 M St Ne Apt 1113, Washington, DC 20002-7925 | 2020-02-20 |
| 1033770755 | Lauren Taylor Parrish | Physician Assistant | 3800 Reservoir Rd Nw # 2phc, Washington, DC 20007-2113 | 2019-06-24 |
| 1821654617 | Connor James Butz | Physician Assistant | 2311 M St Nw Ste 401, Washington, DC 20037-1495 | 2019-05-16 |
| 1164087482 | Lisa Chuong | Physician Assistant | 110 Irving St Nw # 3b19, Washington, DC 20010-3017 | 2019-05-02 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1942766035 | Grace Victoria Spinks | Physician Assistant | 110 Irving St Nw # 4b42, Washington, DC 20010-3017 | 2019-02-14 |
| 1174006035 | Tara Nicole Wilson | Physician Assistant | 110 Irving Sreet Nw, Room 4b-42, Washington, DC 20010-2975 | 2018-09-07 |
| Find all providers with the same taxonomy | ||||
| City | BOLLING AFB |
| Zip Code | 22032 |
Please comment or provide details below to improve the information on AMANDA NICOLE COLLINS.
| 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.