Active NPI
Elsa Arp Dehart, ANP
- Family Nurse Practitioner
- Kodiak, AK
National Provider Identifier
1245579903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 947
- Practice address
- 316 Mission Rd Ste 207
Kodiak, AK 99615-7327 - Phone
- (907) 539-1749
- NPI assigned
- Jan 31, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 947 | AK | Primary |
Addresses
Primary practice location
316 Mission Rd Ste 207
Kodiak, AK 99615-7327
Mailing address
316 Mission Rd Ste 207
Kodiak, AK 99615-7327
Phone (907) 539-1749
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 |
|---|---|---|---|
| 947 | AK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1245579903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 MISSION RD STE 207",
"city": "KODIAK",
"state": "AK",
"postal_code": "996157327",
"telephone_number": "907-539-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 MISSION RD STE 207",
"city": "KODIAK",
"state": "AK",
"postal_code": "996157327",
"telephone_number": "907-539-1749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHART",
"first_name": "ELSA",
"middle_name": "ARP",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.