Kellie Christine Atkins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017097 Issued in CA

Practice address

111 Via Plumosa
San Clemente, CA 92673-6823

Phone

(949) 291-9617

NPI assigned

Jul 22, 2021

Last updated

Jul 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: kellie.atkins.p15@direct.monarchhealthcare.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1013580497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VIA PLUMOSA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736823",
            "telephone_number": "949-291-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VIA PLUMOSA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736823",
            "telephone_number": "949-291-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "KELLIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arash Asil, DMD
• Marina Asil, PT
• At Home Living Solutions, Inc.
• Bridgette Colwell Atallah, M.A.
• Gina Atencio-Maclean
• Paul Anthony Atkins
• Juliet Richardson Aucreman, OTR
• Bimisa Chata Augustin, DNP, MSN, APRN,FNP-C
• Paulina Jose Avendano, MD,FAAP
• Andrea Marie Avila

• Family Nurse Practitioner in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.