Healthcare Provider Details

I. General information

NPI: 1952600066
Provider Name (Legal Business Name): KATIE L COLLINS MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2011
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1728 W MARINE VIEW DR STE 223
EVERETT WA
98201-2094
US

IV. Provider business mailing address

1728 W MARINE VIEW DR STE 223
EVERETT WA
98201-2094
US

V. Phone/Fax

Practice location:
  • Phone: 564-219-2031
  • Fax: 350-220-3200
Mailing address:
  • Phone: 564-219-2031
  • Fax: 350-220-3200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61618628
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60290488
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: