Anniecia Marlena Wilkins
Individual provider Active NPI Home Health Agency · Fort Mitchell, AL
NPI 1235816554 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1235816554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 22 Bradley Dr
Fort Mitchell, AL 36856-4340 - Phone
- (334) 538-4353
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
22 Bradley Dr
Fort Mitchell, AL 36856-4340
Mailing address
22 Bradley Dr
Fort Mitchell, AL 36856-4340
Phone (334) 538-4353
NPI Registry JSON
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1235816554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BRADLEY DR",
"city": "FORT MITCHELL",
"state": "AL",
"postal_code": "368564340",
"telephone_number": "334-538-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRADLEY DR",
"city": "FORT MITCHELL",
"state": "AL",
"postal_code": "368564340",
"telephone_number": "334-538-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "ANNIECIA",
"middle_name": "MARLENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mitchell, AL
All providers in Fort Mitchell, AL · Home Health Agency in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. 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.