Provider Demographics
NPI:1265677983
Name:COLLINS, ELISABETH LIPPINCOTT (RN, MS, PMHNP - BC)
Entity type:Individual
Prefix:MISS
First Name:ELISABETH
Middle Name:LIPPINCOTT
Last Name:COLLINS
Suffix:
Gender:F
Credentials:RN, MS, PMHNP - BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3835 N FREEWAY BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1928
Mailing Address - Country:US
Mailing Address - Phone:916-576-7900
Mailing Address - Fax:916-285-0338
Practice Address - Street 1:1520 W MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-4687
Practice Address - Country:US
Practice Address - Phone:804-369-8201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001324002163WP0807X
CA780831163WP0807X
CORXN.0103734-NP163WP0807X
COAPN.0994396-NP363LP0808X
CA22301363LP0808X
VA0024188757363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent