Individual provider Active NPI

Dawn R Underwood

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1083002729
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30319 Issued in MT
Practice address
360 W Benson Blvd Ste 310
Anchorage, AK 99503-3953
Phone
(907) 268-2327
Fax
(510) 355-1627
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30319 MT Primary

Addresses

Primary practice location

360 W Benson Blvd Ste 310
Anchorage, AK 99503-3953

Mailing address

6356 S Hallie Dr
Wasilla, AK 99623-8853
Phone (907) 671-3517

Other practice location 1

6356 S Hallie Dr
Wasilla, AK 99623-8853
Phone (907) 671-3517

Other names 1

  • Dawn R Butler Other name

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
30319MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Family Chiropractic CurrentSince Aug 8, 2020 Accepting new patients

Locations

600 E 36th Ave
Ste 300
Anchorage, AK 99503
Phone (907) 562-3060

Interoperability endpoints

  • Direct secure messaging: dawn.underwood@115443077021700.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1083002729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6356 S HALLIE DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996238853",
            "telephone_number": "907-671-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BENSON BLVD STE 310",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033953",
            "telephone_number": "907-268-2327",
            "fax_number": "510-355-1627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6356 S Hallie Dr",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996238853",
            "country_code": "US",
            "telephone_number": "907-671-3517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "DAWN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2022-03-30",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "30319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "BUTLER",
            "middle_name": "R",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.