Individual provider Active NPI

Deborah Kiley, ANP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1083638423
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AK348 Issued in AK
Practice address
3310 Arctic Blvd Ste 102
Anchorage, AK 99503-4576
Phone
(907) 250-5755
Fax
(907) 802-6585
NPI assigned
Jul 27, 2006
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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 AK348 AK Primary

Addresses

Primary practice location

3310 Arctic Blvd Ste 102
Anchorage, AK 99503-4576

Mailing address

3310 Arctic Blvd Ste 102
Anchorage, AK 99503-4576
Phone (907) 250-5755

Other identifiers 1

IdentifierTypeStateIssuer
NP03483MedicaidAK

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 Mar 1, 2015 through Mar 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
348AKMDPh.D. Medical Genetics
AK348AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Ear Nose & Throat, Inc PastSince Sep 30, 1999 Accepting new patients
Rehabilitation & Sports Medicine, LLC Past Accepting new patients
Avante Medical Center, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9026/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1083638423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 ARCTIC BLVD STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034576",
            "telephone_number": "907-250-5755",
            "fax_number": "907-802-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 ARCTIC BLVD STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034576",
            "telephone_number": "907-250-5755",
            "fax_number": "907-802-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEY",
        "first_name": "DEBORAH",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "AK348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP03483",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.