Active NPI
Timothy Wilkins
- Other Technician
- West Plains, MO
National Provider Identifier
1508303504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 3411 Division Dr
West Plains, MO 65775-5789 - Phone
- (417) 247-5172
- NPI assigned
- Jan 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
3411 Division Dr
West Plains, MO 65775-5789
Mailing address
3411 Division Dr
West Plains, MO 65775-5789
Phone (417) 247-5172
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1508303504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 DIVISION DR",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657755789",
"telephone_number": "417-247-5172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 DIVISION DR",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657755789",
"telephone_number": "417-247-5172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-27",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.