Individual provider Active NPI

Barbara A. Maryan, ANP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1033148028
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ANPLIC#170 Issued in AK
Practice address
3501 Denali St Ste 203
Anchorage, AK 99503-4039
Phone
(907) 562-3345
Fax
(907) 562-9681
NPI assigned
Jul 1, 2006
Last updated
Dec 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFTLIC#33 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ANPLIC#170 AK Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 170 AK

Addresses

Primary practice location

3501 Denali St Ste 203
Anchorage, AK 99503-4039

Mailing address

301 W. Northern Lights Blvd
Suite #638
Anchorage, AK 99503
Phone (907) 562-3345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LMFTLIC#33AKMDMarriage & Family Therapist
170AKMDPhysical Therapist
ANPLIC#170AKMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1033148028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W. NORTHERN LIGHTS BLVD",
            "address_2": "SUITE #638",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-562-3345",
            "fax_number": "907-562-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 DENALI ST STE 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034039",
            "telephone_number": "907-562-3345",
            "fax_number": "907-562-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYAN",
        "first_name": "BARBARA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AK",
            "license": "LMFTLIC#33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "ANPLIC#170",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.