Individual provider Active NPI

Lisa K Samuelson, CRT

  • Certified Respiratory Therapist
  • Anchorage, AK
National Provider Identifier
1194067447
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
Practice address
501 W International Airport Rd
Suite 1a
Anchorage, AK 99518-1106
Phone
(907) 565-6100
Fax
(907) 565-6112
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X Primary

Addresses

Primary practice location

501 W International Airport Rd
Suite 1a
Anchorage, AK 99518-1106

Mailing address

501 W International Airport Rd
Suite 1a
Anchorage, AK 99518-1106
Phone (907) 565-6100

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

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1194067447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W INTERNATIONAL AIRPORT RD",
            "address_2": "SUITE 1A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181106",
            "telephone_number": "907-565-6100",
            "fax_number": "907-565-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W INTERNATIONAL AIRPORT RD",
            "address_2": "SUITE 1A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181106",
            "telephone_number": "907-565-6100",
            "fax_number": "907-565-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "CRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": null,
            "license": null,
            "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 Mar 25, 2013; 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.