Active NPI
Erin E Boklage, AU.D.
- Audiologist
- Anchorage, AK
National Provider Identifier
1154575298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 119
- Practice address
- 4315 Diplomacy Dr
Anmc - Audiology
Anchorage, AK 99508-5926 - Phone
- (907) 729-8584
- NPI assigned
- Nov 14, 2008
- Last updated
- May 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001385 | VA | |
| Audiologist | 231H00000X | 119 | AK | Primary |
Addresses
Primary practice location
4315 Diplomacy Dr
Anmc - Audiology
Anchorage, AK 99508-5926
Mailing address
4315 Diplomacy Dr
Anmc - Audiology
Anchorage, AK 99508-5926
Phone (907) 729-8584
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119 | AK | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcentral Foundation | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Ear Nose & Throat LTD | Past | Accepting new patients |
Interoperability endpoints
- eboklage@direct.scf.cc
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.
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1154575298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4315 DIPLOMACY DR",
"address_2": "ANMC - AUDIOLOGY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085926",
"telephone_number": "907-729-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 DIPLOMACY DR",
"address_2": "ANMC - AUDIOLOGY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085926",
"telephone_number": "907-729-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKLAGE",
"first_name": "ERIN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-14",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001385",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AK",
"license": "119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.