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1285098848 NPI number — ANASTASIA COLLINS DO

NPI Number: 1285098848
Health Care Provider/Practitioner: ANASTASIA COLLINS DO

Information about “1285098848” NPI (ANASTASIA COLLINS DO) exists in 1285098848 in HTML format HTML  |  1285098848 in plain Text format TXT  |  1285098848 in PDF (Portable Document Format) PDF  |  1285098848 in an XML format XML  formats.

NPI Number : 1285098848 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285098848",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COLLINS",
    "FirstName": "ANASTASIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHELL",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1007 39TH AVE SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PUYALLUP",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98374-2192",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-435-3100",
    "MailingAddressFaxNumber": "253-435-3138",
    "FirstLinePracticeLocationAddress": "555 ANDOVER PARK W STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUKWILA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98188-3379",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-803-3370",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/11/2016",
    "LastUpdateDate": "05/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "T8708",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "20A16471",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "93231",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "OP61210170",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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