Adkins Family Practice, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209002622 Issued in IL

Legal business name

ADKINS FAMILY PRACTICE, LLC

Practice address

406 W Saint Louis St
West Frankfort, IL 62896-1956

Phone

(618) 937-0890

Fax

(618) 937-0889

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julie Adkins, APN

Title

Owner/Provider

Phone

(618) 937-0890

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1225589740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W SAINT LOUIS ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628961956",
            "telephone_number": "618-937-0890",
            "fax_number": "618-937-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W SAINT LOUIS ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628961956",
            "telephone_number": "618-937-0890",
            "fax_number": "618-937-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADKINS FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "618-937-0890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209002622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321501530001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Aaron, LCSW
• Lauren Elizabeth Adams
• Allyson Leigh Adkins, PTA
• Jon Adkins, M.ED., QMHP
• Advanced Surgical Technology, LLC (AST Primary Care West Frankfort)
• Hind Al-Sharif, M.D.
• Robert Ames

• Family Nurse Practitioner in West Frankfort, IL
• Providers in West Frankfort, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.