Active NPI
Sarah Favorite, IDMT
- Independent Duty Medical Technicians
- Anchorage, AK
National Provider Identifier
1205505591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Medical Technicians
- Practice address
- 4774 Gray Loop Unit D
Anchorage, AK 99506-4673 - Phone
- (603) 809-1692
- NPI assigned
- Sep 9, 2021
- 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 |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Primary |
Addresses
Primary practice location
4774 Gray Loop Unit D
Anchorage, AK 99506-4673
Mailing address
673 MDG
5955 Zeamer Ave
Jber, AK 99506
Phone (907) 551-3955
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": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1205505591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 MDG",
"address_2": "5955 ZEAMER AVE",
"city": "JBER",
"state": "AK",
"postal_code": "99506",
"telephone_number": "907-551-3955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4774 GRAY LOOP UNIT D",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995064673",
"telephone_number": "603-809-1692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAVORITE",
"first_name": "SARAH",
"credential": "IDMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-09",
"last_updated": "2021-11-10",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1003X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Medical Technicians",
"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 Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.