Amanda Loomis, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1187 Issued in AK

Practice address

550 W 7TH Ave Ste 1800
Anchorage, AK 99501-3569

Phone

(907) 269-7300

NPI assigned

Oct 20, 2014

Last updated

Apr 3, 2019By 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

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Valdez Medical Center Hospital, Valdez, AK, CCN 021301

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• City of Valdez

  dba Providence Valdez Medical Center

  • Critical Access Hospital Clinic/Center
  • Valdez, AK
  • NPI 1427424282
  Medicare reassignment NPD
• City of Valdez

  dba Providence Valdez Medical Center

  • Critical Access Hospital
  • Valdez, AK
  • NPI 1750485488
  Medicare reassignment NPD
• State of Alaska Dept. of Corrections Pharmacy

  • Pharmacy
  • Anchorage, AK
  • NPI 1073279840
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Valdez

  dba Providence Valdez Medical Center

  • Critical Access Hospital
  • Valdez, AK
  • NPI 1750485488
  Care Compare affiliation

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1003210030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W 7TH AVE STE 1800",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013569",
            "telephone_number": "907-269-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W 7TH AVE STE 1800",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013569",
            "telephone_number": "907-269-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1867 Airport Way",
            "address_2": "Suite 130B",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014054",
            "country_code": "US",
            "telephone_number": "907-452-2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylee Rose Longsine
• Colin Longston
• Anthony Longval Jr.
• Alfred Lonser, M.D.
• Seth Lookhart, DMD
• Logan Loomis
• Tammera Renae Loomis, CCM
• Danyelle Looper
• Verna Marie Loosli, LCSW
• Elisa Lopez Martinez, PT

• Medical Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.