Individual provider Active NPI

Alpha Elliott Anthamatten

  • Foster Care Agency
  • Abilene, TX
National Provider Identifier
1104199900
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Practice address
1306 Buccaneer Dr
Abilene, TX 79605-3735
Phone
(325) 695-1745
Fax
(325) 695-1745
NPI assigned
Feb 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

1306 Buccaneer Dr
Abilene, TX 79605-3735

Mailing address

1306 Buccaneer Dr
Abilene, TX 79605-3735
Phone (325) 695-1745

Other names 1

  • Alpha Elliott Quinn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1104199900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 BUCCANEER DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796053735",
            "telephone_number": "325-695-1745",
            "fax_number": "325-695-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 BUCCANEER DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796053735",
            "telephone_number": "325-695-1745",
            "fax_number": "325-695-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHAMATTEN",
        "first_name": "ALPHA",
        "middle_name": "ELLIOTT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALPHA",
            "last_name": "QUINN",
            "middle_name": "ELLIOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.