Individual provider Active NPI

Elizabeth Lucille Brown, ANP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1245751585
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
118290 Issued in AK
Practice address
1201 N Muldoon Rd
Anchorage, AK 99504
Phone
(907) 257-4700
Fax
(907) 257-6732
NPI assigned
Jun 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 118290 AK Primary

Addresses

Primary practice location

1201 N Muldoon Rd
Anchorage, AK 99504

Mailing address

1201 N Muldoon Rd
Anchorage, AK 99504-6104
Phone (907) 257-4700

Other practice location 1

12044 Copper Mountain Dr
Eagle River, AK 99577-7304
Phone (715) 297-5056

Other practice location 2

12044 Copper Mountain Dr
Eagle River, AK 99577-7304
Phone (715) 297-5056

Other practice location 3

1021 E 3rd Ave
Anchorage, AK 99501-6102
Phone (715) 297-5056

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

LicenseStateTypeSpecialty
118290AKMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245751585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N MULDOON RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995046104",
            "telephone_number": "907-257-4700",
            "fax_number": "907-257-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N MULDOON RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99504",
            "telephone_number": "907-257-4700",
            "fax_number": "907-257-6732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12044 Copper Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777304",
            "country_code": "US",
            "telephone_number": "715-297-5056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12044 Copper Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777304",
            "country_code": "US",
            "telephone_number": "715-297-5056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 E 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995016102",
            "country_code": "US",
            "telephone_number": "715-297-5056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELIZABETH",
        "middle_name": "LUCILLE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "118290",
            "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 Jul 21, 2022; 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.