Provider Demographics
NPI:1770380230
Name:ATKINSON, JOANNE KAY
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:KAY
Last Name:ATKINSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41516 E BANNER RD
Mailing Address - Street 2:
Mailing Address - City:GOTHENBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69138-9348
Mailing Address - Country:US
Mailing Address - Phone:308-529-2788
Mailing Address - Fax:
Practice Address - Street 1:41516 E BANNER RD
Practice Address - Street 2:
Practice Address - City:GOTHENBURG
Practice Address - State:NE
Practice Address - Zip Code:69138-9348
Practice Address - Country:US
Practice Address - Phone:308-529-2788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child