Active NPI
Katie Jean Atkins, IBCLC
- Lactation Consultant (Non-RN)
- Fayetteville, AR
National Provider Identifier
1558847368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-131699
- Practice address
- 2988 N Quail Creek Dr
Fayetteville, AR 72703-3983 - Phone
- (479) 879-2586
- NPI assigned
- Jul 15, 2018
- Last updated
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-131699 | AR | Primary |
Addresses
Primary practice location
2988 N Quail Creek Dr
Fayetteville, AR 72703-3983
Mailing address
2988 N Quail Creek Dr
Fayetteville, AR 72703-3983
Phone (479) 879-2586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L-131699 | Other | AR | LACTATION CONSULTANT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-131699 | AR | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atkins Property Management | Lactation Consultant, Non-RN | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arkansas Lactation
- Lactation Consultant (Non-RN)
- Fayetteville, AR
- NPI 1528675238
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1558847368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2988 N QUAIL CREEK DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727033983",
"telephone_number": "479-879-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2988 N QUAIL CREEK DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727033983",
"telephone_number": "479-879-2586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "KATIE",
"middle_name": "JEAN",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-15",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "AR",
"license": "L-131699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LACTATION CONSULTANT",
"identifier": "L-131699",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.