Kierstin Deziree Atkinson, LVN

Individual provider Active NPI Licensed Vocational Nurse · San Benito, TX

NPI 1124505946 · NPPES record last updated Apr 9, 2020

Key facts

NPI: 1124505946
Entity type: Individual (NPI type 1)
Primary specialty: Licensed Vocational Nurse 164X00000X
License: 340150 (TX)
Practice address: 185 Alexia
San Benito, TX 78586-3008
Phone: (956) 579-1588
NPI assigned: Jul 24, 2018
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Santa Cruz Health Services, Inc Home Health Agency · Harlingen, TX · NPI 1790847531

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
340150	TX	MD	Licensed Vocational Nurse

Practice roles

Organization	Specialty	Status	New patients
Santa Cruz Health Services, Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Licensed Vocational Nurse	164X00000X	340150	TX	Yes

Addresses

Primary practice location

185 Alexia
San Benito, TX 78586-3008

Mailing address

185 Alexia
San Benito, TX 78586-3008
Phone (956) 579-1588

Other identifiers

Identifier	Type	State	Issuer
1790847531	Medicaid	TX

Other providers in San Benito, TX

All providers in San Benito, TX · Licensed Vocational Nurse in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.