Individual provider Active NPI

Henrietta Emokidi, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1053505206
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
128333 Issued in AK
Practice address
PO Box 140665
Anchorage, AK 99514-0665
Phone
(907) 317-1703
Fax
(907) 278-4358
NPI assigned
Aug 30, 2007
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 128333 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 128333 AK Primary
Primary Care Nurse Practitioner 363LP2300X 128333 AK
Case Manager/Care Coordinator 171M00000X 436940 AK

Addresses

Primary practice location

PO Box 140665
Anchorage, AK 99514-0665

Mailing address

PO Box 140665
Anchorage, AK 99514-0665
Phone (907) 317-1703

Other practice location 1

2421 E Tudor Rd Ste 108
Anchorage, AK 99507-1166
Phone (907) 317-1703

Other practice location 2

11432 Business Blvd Ste 4
Eagle River, AK 99577
Phone (907) 317-1703

Other practice location 3

8014 E 2nd Ave
Anchorage, AK 99504-1510
Phone (907) 278-4357

Other practice location 4

204 Muldoon Rd
Anchorage, AK 99504-1502
Phone (907) 317-1703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
436940AKMDCase Manager/Care Coordinator
128333AKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emk Innovative Health Care Clinic CurrentSince Nov 24, 2024 Accepting new patients
Caring Companions LLC PastSince Nov 24, 2024 Accepting new patients

Locations

204 Muldoon Rd
Anchorage, AK 99504
Phone (907) 317-1703

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1053505206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140665",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995140665",
            "telephone_number": "907-317-1703",
            "fax_number": "907-278-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 140665",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995140665",
            "telephone_number": "907-317-1703",
            "fax_number": "907-278-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2421 E Tudor Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995071166",
            "country_code": "US",
            "telephone_number": "907-317-1703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11432 Business Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "99577",
            "country_code": "US",
            "telephone_number": "907-317-1703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8014 E 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995041510",
            "country_code": "US",
            "telephone_number": "907-278-4357",
            "fax_number": "907-278-4358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Muldoon Rd",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995041502",
            "country_code": "US",
            "telephone_number": "907-317-1703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMOKIDI",
        "first_name": "HENRIETTA",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "128333",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "128333",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AK",
            "license": "128333",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "436940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.