Nicole Anne Wilkins, EDD, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1148 Issued in OK

Practice address

800 S Tucker Dr
Tulsa, OK 74104-9700

Phone

(918) 631-2026

NPI assigned

Nov 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Nicole Anne Reimers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1477839728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S CONGRESS AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046425",
            "telephone_number": "512-416-5802",
            "fax_number": "866-456-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S TUCKER DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741049700",
            "telephone_number": "918-631-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "EDD, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4358",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "AT1148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "REIMERS",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "MS, ATC, LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Jeffrey Wilkie
• Michael Neal Wilkin, MD
• Amber Elizabeth-Estell Wilkins
• Brandy Nicole Wilkins
• Kelsey D Wilkins, P.A.
• Alleah Wilkinson, BSN, RN
• Bethany Irene Wilkinson, MEDICAL STUDENT
• Brett Wilkinson, RD, LD
• Jaime L Wilkinson, P.A.
• Kathy Wilkinson, LPC, LADC

• Athletic Trainer in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.