Sage An

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

122040 Issued in AK

Practice address

1500 Debarr Cir
Anchorage, AK 99508-2984

Phone

(907) 258-7575

NPI assigned

Apr 22, 2014

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Frontline Hospital LLC

  dba North Star Hospital

  • Psychiatric Hospital
  • Anchorage, AK
  • NPI 1487629333
  NPD (past)
• Frontline Residential Treatment Center LLC

  dba North Star Residential Treatment Center

  • Psychiatric Residential Treatment Facility
  • Anchorage, AK
  • NPI 1356416101
  NPD (past)

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1073933644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DEBARR CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DEBARR CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082984",
            "telephone_number": "907-258-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "SAGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "AK",
            "license": "14031",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "122040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Amstadter, PA-C
• Tashia M. Amstislavski, MA, LMSW
• Linda A Amundson, RN
• Amy's Speech Shop L.L.C
• Lisa An, FNP
• Colleen D Anagick, LCSW
• Anak Limited (Abvi / Executive Suite Hotel)
• Alice Jinkyung Anama, DMD
• Tina Marie Anaya
• Edtisham Ancheta, LMT

• Registered Nurse in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.