Individual provider Active NPI

Terry Nathanya Atkinson-Anderson, AG-ACNP

  • Registered Nurse
  • Orlando, FL
National Provider Identifier
1548837834
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
11013431 Issued in FL
Practice address
1221 W Colonial Dr
Orlando, FL 32804-7163
Phone
(888) 830-1050
Fax
(866) 364-7259
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 11013431 FL Primary

Addresses

Primary practice location

1221 W Colonial Dr
Orlando, FL 32804-7163

Mailing address

925 S Semoran Blvd
Winter Park, FL 32792-5313
Phone (888) 830-1050

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

State licenses

LicenseStateTypeSpecialty
11013431FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1548837834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S SEMORAN BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925313",
            "telephone_number": "888-830-1050",
            "fax_number": "866-364-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047163",
            "telephone_number": "888-830-1050",
            "fax_number": "866-364-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON-ANDERSON",
        "first_name": "TERRY",
        "middle_name": "NATHANYA",
        "name_prefix": "Mrs.",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "11013431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.