Active NPI
Karen Lynn Atkinson, P.A.
- Medical Physician Assistant
- Hanford, CA
National Provider Identifier
1871585968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA18404
- Practice address
- 1025 N Douty St
Hanford, CA 93230-3722 - Phone
- (559) 583-2254
- Fax
- (559) 589-2065
- NPI assigned
- Aug 16, 2005
- Last updated
- Jan 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA18404 | CA | Primary |
| Medical Physician Assistant | 363AM0700X | 2768 | AZ |
Addresses
Primary practice location
1025 N Douty St
Hanford, CA 93230-3722
Mailing address
545 B St
Lemoore, CA 93245-2605
Phone (559) 423-5312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 518516 | Medicaid | AZ |
Other names 1
- Dr. David A Glossbrenner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160504001512 | CA | Order and Referring Only - Physician Assistant | 0840599387 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2768 | AZ | MD | Dentist |
| PA18404 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Canyon Dermatology, PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/4374/brand/1/csg/1/fhir/r4
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.
-
- Point of Service
- Yuma, AZ
- NPI 1437339470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1871585968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 B ST",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932452605",
"telephone_number": "559-423-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 N DOUTY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932303722",
"telephone_number": "559-583-2254",
"fax_number": "559-589-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "KAREN",
"middle_name": "LYNN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA18404",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "2768",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "518516",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "GLOSSBRENNER",
"middle_name": "A",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.