Kim Atkinson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Garner, NC
NPI 1245907104 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1245907104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ATKI-JC05A (NC)
- Practice address
- 790 Timber Dr
Garner, NC 27529-4852 - Phone
- (919) 779-2883
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211214002798 | NC | Practitioner - Nurse Practitioner | 0648660225 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5014949 | NC | MD | Family Nurse Practitioner |
| ATKI-JC05A | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of North Carolina PC | Family | Current |
Accepting new patients |
Locations
790 Timber Dr
Garner, NC 27529
Phone (888) 607-4287
6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415
7900 Old Wake Forest Rd
Raleigh, NC 27616
Phone (919) 720-1024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5014949 | NC | |
| Family Nurse Practitioner | 363LF0000X | ATKI-JC05A | NC | Yes |
Addresses
Primary practice location
790 Timber Dr
Garner, NC 27529-4852
Mailing address
790 Timber Dr
Garner, NC 27529-4852
Phone (919) 779-2883
Other providers in Garner, NC
- Allison Beth Arvin
- Valerie Asadian
- Ascend Rehab Therapy PLLC
- Rosemary Rebecca Ashford
- Jadaya Asor-Sallaah
- Atlantic Health Group, Inc
- Kerry Lynn Autry
- Avenir Ventures, L.L.C.
- Aversboro Assisted Living of Garner, LLC
- Aleksandra Avery
All providers in Garner, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.