Individual provider
AMANDA NICOLE COLLINS, PA-C
CMS NPPES lists AMANDA NICOLE COLLINS as an individual provider record with NPI 1790953420. The current record reports a primary practice location in BOLLING AFB, DC and primary taxonomy code 363A00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location238 BROOKLEY AVENUEBOLLING AFB, DC 22032
- Additional practice location60 Prosperity LnStafford, VA 225564605
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
363A00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- February 15, 2008
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.