Individual provider Active NPI

Brianna Clendenin

  • Primary Care Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1073050373
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
118589 Issued in AK
Practice address
2600 Denali St Ste 101
Anchorage, AK 99503-2746
Phone
(907) 331-7215
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 118589 AK Primary

Addresses

Primary practice location

2600 Denali St Ste 101
Anchorage, AK 99503-2746

Mailing address

2600 Denali St Ste 101
Anchorage, AK 99503-2746
Phone (907) 331-7215

Other practice location 1

800 Cordova St
Anchorage, AK 99501-3717
Phone (907) 269-8161

Other practice location 2

1237 W 27th Ave
Anchorage, AK 99503-2318
Phone (907) 331-7215

Other practice location 3

12900 W Creek Frontage Rd
Big Lake, AK 99623-4880
Phone (907) 331-7215

Other practice location 4

6246 E Visions Crest Blvd
Palmer, AK 99645
Phone (907) 331-7215

Other names 1

  • Brianna Patton Former name

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 Dec 17, 2025 through Dec 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118589AKMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1073050373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DENALI ST STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032746",
            "telephone_number": "907-331-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DENALI ST STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032746",
            "telephone_number": "907-331-7215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Cordova St",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995013717",
            "country_code": "US",
            "telephone_number": "907-269-8161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1237 W 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995032318",
            "country_code": "US",
            "telephone_number": "907-331-7215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12900 W Creek Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Big Lake",
            "state": "AK",
            "postal_code": "996234880",
            "country_code": "US",
            "telephone_number": "907-331-7215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6246 E Visions Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "99645",
            "country_code": "US",
            "telephone_number": "907-331-7215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLENDENIN",
        "first_name": "BRIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AK",
            "license": "118589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "PATTON",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.