Active NPI
Amy Urbanus, RD
- Registered Dietitian
- Anchorage, AK
National Provider Identifier
1184716250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 91
- Practice address
- 3200 Providence Dr
Anchorage, AK 99508-4615 - Phone
- (907) 212-7980
- NPI assigned
- Sep 28, 2006
- Last updated
- Jun 13, 2017
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 91 | AK | Primary |
Addresses
Primary practice location
3200 Providence Dr
Anchorage, AK 99508-4615
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
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 |
|---|---|---|---|
| 91 | AK | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Women's Clinic, LLC | Past | Accepting new patients | |
| Alaska Internal Medicine & Pediatrics LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Anchorage, AK
- NPI 1366580912
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- Anchorage, AK
- NPI 1265496061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497312000000",
"number": "1184716250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084105",
"telephone_number": "866-907-1068",
"fax_number": "425-917-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PROVIDENCE DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084615",
"telephone_number": "907-212-7980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBANUS",
"first_name": "AMY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2017-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AK",
"license": "91",
"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 Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.