Kasey Atnip, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09479 Issued in TX

Practice address

54 Flag Lake PLZ
Lake Jackson, TX 77566-6263

Phone

(979) 297-0362

NPI assigned

Jan 16, 2015

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

Other names 1

• Miss Kasey Krejci Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bottenfield Pediatric Associates, PLLC

  • Pediatrics Physician
  • Lake Jackson, TX
  • NPI 1710540513
  NPD (past)

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1891184610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LILAC ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665470",
            "telephone_number": "979-235-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 FLAG LAKE PLZ",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666263",
            "telephone_number": "979-297-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATNIP",
        "first_name": "KASEY",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "KREJCI",
            "prefix": "MISS",
            "credential": "P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Renee Arriaga, FNP
• Devon Asphall, PHARMD
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• Atkins Health PLLC
• Austin Atkins, PA-C
• Angelica Avila, PHARM.D.
• Mustanser Mahmood Badar, MD, MPH, RPVI
• Baker Chiropractic Center
• Baker Chiropractic Center
• Baker Chiropractic Center PLLC

• Physician Assistant in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.