Kenneth Wayne Tindel, ATP

Primary specialty

Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X

License

ATP 44058 Issued in TX

Practice address

1901 S Palestine St
Athens, TX 75751-5701

Phone

(903) 675-9360

Fax

(903) 675-1570

NPI assigned

Sep 8, 2011

Last updated

Sep 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1851672562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757515701",
            "telephone_number": "903-675-9360",
            "fax_number": "903-675-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757515701",
            "telephone_number": "903-675-9360",
            "fax_number": "903-675-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDEL",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "ATP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "TX",
            "license": "ATP 44058",
            "primary": true
        },
        {
            "code": "225CA2500X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": "TX",
            "license": "ATP 44058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTIVE TECHNOLOGY PROFESSIONAL",
            "identifier": "ATP 44058",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teri Lynne Baumgartner PLLC (Athens Women's Health Center)
• Nicole Louise Thompson, NP
• Teresa Jan Thompson, LPC 13076
• Frederick Allen Thurmond, MD
• Tina P. Elkins MD PA
• Michael C Tobes, MD
• Mendy Pabren Tolbert, PHARM. D.
• Devin Danielle Tompkins, DDS
• Jacqueline Ann Torell, M.D.
• Irene Torres

• Rehabilitation Counselor in Athens, TX
• Providers in Athens, TX by specialty
• Rehabilitation Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.