Angel D Atkins, CNM, WHNP, APN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

277-001559 Issued in IL

Practice address

2805 N Knoxville Ave
Peoria, IL 61604-2869

Phone

(309) 370-1025

Fax

(309) 266-5340

NPI assigned

Apr 11, 2006

Last updated

Nov 16, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

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

• Pekin Prohealth Inc

  • Family Medicine Physician
  • Pekin, IL
  • NPI 1932150299
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1225091986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26962 DON ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617479624",
            "telephone_number": "309-370-1025",
            "fax_number": "309-266-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042869",
            "telephone_number": "309-370-1025",
            "fax_number": "309-266-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "ANGEL",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CNM, WHNP, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "277-001559",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209005714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Surgical Group, SC
• Associated University Neurosurgeons SC
• Associates in Dentistry
• Associates in Mental Health, SC
• Adee Athiyaman, MD
• Devon Alicia Atkins, M.A.
• Michaeleen Atkisson, PT
• Kaylee Atria, LCSW
• Bethany Atterberry, P.T.
• Joshua Michael Auer, APRN

• Women's Health Nurse Practitioner in Peoria, IL
• Providers in Peoria, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.