Audretta Deanne Atkins

Primary specialty

DriverTaxonomy code 172A00000X

License

0500229390 Issued in IN

Practice address

7883 Shaker CT
Fort Wayne, IN 46804-5708

Phone

(260) 573-7728

Fax

(855) 710-7995

NPI assigned

Jan 7, 2020

Last updated

Jan 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1659911774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7883 SHAKER CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045708",
            "telephone_number": "260-573-7728",
            "fax_number": "855-710-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7883 SHAKER CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045708",
            "telephone_number": "260-573-7728",
            "fax_number": "855-710-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "AUDRETTA",
        "middle_name": "DEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IN",
            "license": "0500229390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "support@cirleofexxcellencelogistic.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7883 Shaker Ct",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468045708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Syed A Ather, M.D.
• Athletico LTD (Athletico Physical Therapy)
• Robin Atkins, LMHC, M.A.
• Tyler Atkins, M.D.
• Harold D Atkinson, DDS
• Penny Jean Atkinson, R.D., C.D.E
• Atlas Chiropractic of Fort Wayne LLC

• Driver in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Driver in Indiana

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