JAMES EDWARD COLLIE (NPI# 1790385029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790385029 |
| Entity Type | Individual |
| Full Name | JAMES EDWARD COLLIE |
| Credential | ACNPC-AG |
| Practice Address |
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167 |
| Mailing Address |
1406 Royal Grove Ln Port Orange FL 32129-8996 |
| Practice Telephone | 3865066388 |
| Mailing Telephone | 3865066388 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
11009725 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497217244 | James Carson Collie | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2019-04-02 |
| 1659866457 | James David Collie | Case Manager/Care Coordinator | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2018-06-25 |
| Street Address |
301 MEMORIAL MEDICAL PKWY |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588788 | Kathleen Ann Williams | Internal Medicine | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2005-12-14 |
| 1568077501 | Christian H Schadt | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-09-15 |
| 1982220620 | Olatoun Okediji | Social Worker | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-06-18 |
| 1962038554 | Maria Clea Dulay | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1659907244 | Lisa Wisniewski | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1386287506 | Kristin Warner | Registered Nurse | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-21 |
| 1841832797 | Morgan Nicole Miles | Hospitalist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-11 |
| 1508329780 | Samantha Snowden | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-13 |
| 1114489812 | Lindsay Schneider | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-02 |
| 1912477472 | Yarisneisy Gonzalez | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2018-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1902213903 | Sharon Besche Craddock | Nurse Practitioner | 544 Health Boulevard, Daytona Beach, FL 32114 | 2014-07-22 |
| 1679117477 | Amanda Paterson | Nurse Practitioner | 1890 Lpga Blvd Ste 250, Daytona Beach, FL 32117-7131 | 2019-11-05 |
| 1265919013 | Jennifer Leuzinger | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2018-07-24 |
| 1982127544 | Susan Farrenkopf | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2017-07-25 |
| 1639607070 | Miranda Leigh Pelzel | Nurse Practitioner | 305 Memorial Medical Pkwy Ste 308, Daytona Beach, FL 32117 | 2017-05-30 |
| 1861946204 | Shealean Lewis | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2016-08-14 |
| 1821440694 | Justine Frances Fager-bennett | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2016-07-06 |
| 1306292925 | Alejandra Linares | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2016-05-12 |
| 1144664434 | Allison Marie Allard | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-04-17 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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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.