Active NPI
Kimberley Tuttle
- Home Health Aide
- Fairbanks, AK
National Provider Identifier
1073851291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1867 Airport Way Ste 225
Fairbanks, AK 99701-4062 - Phone
- (907) 455-4480
- NPI assigned
- Jan 23, 2013
- Last updated
- Jan 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | AK | Primary |
Addresses
Primary practice location
1867 Airport Way Ste 225
Fairbanks, AK 99701-4062
Mailing address
7005 Cold Foot CT
Salcha, AK 99714-9713
Phone (907) 488-3089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC00915 | Medicaid | AK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1073851291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 COLD FOOT CT",
"city": "SALCHA",
"state": "AK",
"postal_code": "997149713",
"telephone_number": "907-488-3089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1867 AIRPORT WAY STE 225",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014062",
"telephone_number": "907-455-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "KIMBERLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "AK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC00915",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.