Individual provider Active NPI

Timothy W Atkinson, MD

  • Acute Care Nurse Practitioner
  • Fort Wainwright, AK
National Provider Identifier
1265503742
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
PA 1004563 Issued in WA
Practice address
1060 Gaffney Rd # 7440
Commander, USA-Meddac-Ak Attn McUc-MMD-QM(Credentials)
Ft Wainwright, AK 99703-5001
Phone
(907) 353-5418
Fax
(907) 353-4847
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 260 AK
Acute Care Nurse Practitioner 363LA2100X PA 1004563 WA Primary

Addresses

Primary practice location

1060 Gaffney Rd # 7440
Commander, USA-Meddac-Ak Attn McUc-MMD-QM(Credentials)
Ft Wainwright, AK 99703-5001

Mailing address

1060 Gaffney Rd # 7440
Commander, USA-Meddac-Ak Attn McUc-MMD-QM(Credentials)
Ft Wainwright, AK 99703-5001
Phone (907) 353-5418

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PA 1004563WAMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1265503742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD # 7440",
            "address_2": "COMMANDER, USA-MEDDAC-AK ATTN MCUC-MMD-QM(CREDENTIALS)",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035001",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD # 7440",
            "address_2": "COMMANDER, USA-MEDDAC-AK ATTN MCUC-MMD-QM(CREDENTIALS)",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035001",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "260",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "PA 1004563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wainwright, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.