Tiesha Renea Atkins

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1151972 Issued in KY

Practice address

6911 Holly Lake Dr
Louisville, KY 40291-3024

Phone

(502) 794-3861

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Aug 21, 2023.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1508640517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 HOLLY LAKE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913024",
            "telephone_number": "502-794-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 HOLLY LAKE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913024",
            "telephone_number": "502-794-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "TIESHA",
        "middle_name": "RENEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1151972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athletico LTD
• Kareem Ziad Atieh
• Emily Lynn Atkins, PA-S
• Justine Atkins, NP
• Robert M Atkins, M.D.
• Isia Atkinson, NP
• Melissa Ann Atkinson, PA-C
• Rae Martin Atkinson, CRNA
• Alexis Atlas
• Atlasmedart LLC

• All providers in Louisville, KY
• Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.