Active NPI
Lydia Quinn
- Private Vehicle
- Anchorage, AK
National Provider Identifier
1063555985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 100521
- Practice address
- 1142 E 13TH Ave
Anchorage, AK 99501-4739 - Phone
- (907) 229-2857
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 100521 | AK | |
| Adult Day Care Clinic/Center | 261QA0600X | 100521 | AK | |
| Respite Care | 385H00000X | 100521 | AK | |
| Private Vehicle | 347C00000X | 100521 | AK | Primary |
Addresses
Primary practice location
1142 E 13TH Ave
Anchorage, AK 99501-4739
Mailing address
1142 E 13TH Ave
Anchorage, AK 99501-4739
Phone (907) 229-2857
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC1142 | Medicaid | AK | |
| RL1142 | Medicaid | AK | |
| 216826 | Other | AK | GENERAL RELIEF |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100521 | AK | MD | Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1063555985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 E 13TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995014739",
"telephone_number": "907-229-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 E 13TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995014739",
"telephone_number": "907-229-2857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "LYDIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "AK",
"license": "100521",
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "AK",
"license": "100521",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "AK",
"license": "100521",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "AK",
"license": "100521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HC1142",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RL1142",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL RELIEF",
"identifier": "216826",
"state": "AK"
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.