Individual provider Active NPI

Ronda Renea Nakoa, PNP

  • Pediatric Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1114217353
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1216 Issued in AK
Practice address
3841 Piper Street
Suite T4-020
Anchorage, AK 99508
Phone
(907) 929-7337
Fax
(907) 929-7330
NPI assigned
Apr 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1216 AK Primary

Addresses

Primary practice location

3841 Piper Street
Suite T4-020
Anchorage, AK 99508

Mailing address

3841 Piper Street
Suite T4-020
Anchorage, AK 99508
Phone (907) 929-7337

Other identifiers 1

IdentifierTypeStateIssuer
1575696MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rnakoa18627@ak.providencedirect.org

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1216AKMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Pediatric Specialties LLC Past Accepting new patients

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1114217353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T4-020",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-929-7337",
            "fax_number": "907-929-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T4-020",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-929-7337",
            "fax_number": "907-929-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKOA",
        "first_name": "RONDA",
        "middle_name": "RENEA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AK",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575696",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnakoa18627@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "4100 Lake Otis Pkwy Ste 312",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995085231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 2, 2026; 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.