Organization Active NPI

Eden Medical Associates, LLC

  • Primary Care Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1205634649
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
EDEN MEDICAL ASSOCIATES, LLC
Practice address
1569 Bragaw St Ste 102
Anchorage, AK 99508-3102
Phone
(907) 440-2987
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Megan Renee Hathcoat, APRNNPI 1013795939
Title
Nurse Practitioner
Phone
(907) 440-2987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X
Family Nurse Practitioner 363LF0000X
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

1569 Bragaw St Ste 102
Anchorage, AK 99508-3102

Mailing address

2905 Donington Dr
Anchorage, AK 99504-3844
Phone (907) 440-2987

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2333773Eden Medical Associates1569 Bragaw St, Ste 102, Anchorage, AK 99508Certificate of waiverNov 10, 2027

National Provider Directory

National Provider Directory

Locations

1569 Bragaw St
Ste 102
Anchorage, AK 99508
Phone (907) 440-2987

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1205634649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 DONINGTON DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043844",
            "telephone_number": "907-440-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 BRAGAW ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083102",
            "telephone_number": "907-440-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "HATHCOAT",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "907-440-2987",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "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 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.