Active NPI
Corina N Ani
- Nurse's Aide
- Fairbanks, AK
National Provider Identifier
1164085825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 710 3Rd Ave
Fairbanks, AK 99701-4455 - Phone
- (907) 452-4222
- NPI assigned
- Apr 18, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
710 3Rd Ave
Fairbanks, AK 99701-4455
Mailing address
710 3Rd Ave
Fairbanks, AK 99701-4455
Phone (907) 452-4222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020977 | Medicaid | AK |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interior AIDS Association | Past | Accepting new patients | |
| Interior AIDS Association | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Methadone Clinic
- Fairbanks, AK
- NPI 1306483755
-
- Community/Behavioral Health Agency
- Fairbanks, AK
- NPI 1881713261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1164085825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 3RD AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014455",
"telephone_number": "907-452-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 3RD AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014455",
"telephone_number": "907-452-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANI",
"first_name": "CORINA",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-18",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020977",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.