Provider Demographics
NPI:1720104664
Name:COLLINS, DAOKA (APRN)
Entity Type:Individual
Prefix:MS
First Name:DAOKA
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:DAOKA
Other - Middle Name:
Other - Last Name:BACCAM-HARTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8200 DODGE ST
Mailing Address - Street 2:CHILDREN'S HOSPITAL & MEDICAL CENTER
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4113
Mailing Address - Country:US
Mailing Address - Phone:402-955-5400
Mailing Address - Fax:
Practice Address - Street 1:8200 DODGE ST
Practice Address - Street 2:CHILDREN'S HOSPITAL & MEDICAL CENTER - PICU
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4113
Practice Address - Country:US
Practice Address - Phone:402-955-4226
Practice Address - Fax:402-955-3262
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110668363LP0200X, 363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE38695OtherBCBS
NE470379754-41Medicaid
250750OtherMIDLANDS CHOICE
NE100249934-00Medicaid