Organization Active NPI

Municipality of Anchorage Payroll

  • Community Health Registered Nurse
  • Anchorage, AK
National Provider Identifier
1104979806
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
2307 Issued in AK
Legal business name
MUNICIPALITY OF ANCHORAGE PAYROLL
Practice address
825 L St
Anchorage, AK 99501-3337
Phone
(907) 343-6872
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mrs. Diane Ingle
Title
Director of DHHS
Phone
(907) 343-6460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC1500X 2307 AK Primary
Public Health or Welfare Agency 251K00000X 2307 AK

Addresses

Primary practice location

825 L St
Anchorage, AK 99501-3337

Mailing address

PO Box 196650
Anchorage, AK 99519-6650

Other identifiers 1

IdentifierTypeStateIssuer
FP0152MedicaidAK

Other names 1

  • MOA - DHHS Other name

National Provider Directory

National Provider Directory

Locations

122 E 4th Ave
Anchorage, AK 99501

7920 Homer Dr
Anchorage, AK 99518

4350 Macinnes St
Anchorage, AK 99508

2207 McRae Rd
Anchorage, AK 99517
Phone (907) 267-5005

430 Bragaw St
Anchorage, AK 99508

1301 Patterson St
Anchorage, AK 99504

825 L St
Anchorage, AK 99501
Phone (907) 343-4540

8735 Jewel Lake Rd
Anchorage, AK 99502

13915 Lake Otis Pkwy
Anchorage, AK 99516

825 L St
#103
Anchorage, AK 99501

1301 E 80th Ave
Anchorage, AK 99518
Phone (907) 267-4936

14080 Old Glenn Hwy
Eagle River, AK 99577

16630 Eagle River Rd
Eagle River, AK 99577

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1104979806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 196650",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995196650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 L ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013337",
            "telephone_number": "907-343-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNICIPALITY OF ANCHORAGE PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "INGLE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR OF DHHS",
        "authorized_official_telephone_number": "907-343-6460",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "AK",
            "license": "2307",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "AK",
            "license": "2307",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FP0152",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOA - DHHS",
            "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 Oct 4, 2010; 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.