SHIRLEY M COLLINS LPN
NPI 1205020112
Licensed Practical Nurse in Fairbanks, AK

Q: What is Shirley Collins's NPI number?

The NPI number for Shirley Collins is 1205020112. It was assigned to this individual provider in the NPPES registry on September 4, 2007. The provider is also known as Shirley M Collins 5048.

Q: What is Shirley Collins's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Collins was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 04, 2007

3830 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 455-5304(907) 455-1460 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shirley M Collins Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY M COLLINS LPN (NPI 1205020112) is an individual licensed practical nurse in Fairbanks, Alaska, licensed in Alaska (5048) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1205020112

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHIRLEY M COLLINSCredential: LPN

Location Address3830 S CUSHMAN STFairbanks, AK 99701-7530

Mailing Address3830 S Cushman StFairbanks, AK 99701-7530 · (907) 455-5304 · Fax (907) 455-1460

Phone(907) 455-5304

Fax(907) 455-1460

Sole ProprietorNo

Enumeration DateSeptember 4, 2007

Last NPPES UpdateFebruary 10, 2012

✔ NPI 1205020112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AK · 5048

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3830 S CUSHMAN ST, Fairbanks, AK 99701

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Other Names 1

Professional Name (2)Shirley M Collins 5048

Other Identifiers 2

MedicaidMH0157AK

Medicare PINK0000WCHCPAK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT MITCHELL RICKSON JR.

Counselor (Mental Health)