Active NPI
Esther Micua
- Assisted Living Facility
- Anchorage, AK
National Provider Identifier
1205084761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 910395
- Practice address
- 1701 Minerva Way
Anchorage, AK 99515-1490 - Phone
- (907) 222-3459
- Fax
- (907) 743-9925
- NPI assigned
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 910395 | AK | Primary |
Addresses
Primary practice location
1701 Minerva Way
Anchorage, AK 99515-1490
Mailing address
1701 Minerva Way
Anchorage, AK 99515-1490
Phone (907) 222-3459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27070 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 910395 | AK | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1205084761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 MINERVA WAY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995151490",
"telephone_number": "907-222-3459",
"fax_number": "907-743-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 MINERVA WAY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995151490",
"telephone_number": "907-222-3459",
"fax_number": "907-743-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICUA",
"first_name": "ESTHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AK",
"license": "910395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27070",
"state": "AK"
}
],
"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 Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.