Vanessa Dupree

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1975 W Church Ridge Dr
Wasilla, AK 99654-2102

Phone

(907) 414-9554

Fax

(907) 308-6744

NPI assigned

Oct 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Resource Center of Alaska

  • Community/Behavioral Health Agency
  • Wasilla, AK
  • NPI 1720600570
  NPD

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1245839679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 W CHURCH RIDGE DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996542102",
            "telephone_number": "907-414-9554",
            "fax_number": "907-308-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 W CHURCH RIDGE DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996542102",
            "telephone_number": "907-414-9554",
            "fax_number": "907-308-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@prcalaska.org",
            "affiliation": "N",
            "address_1": "1975 W Church Ridge Dr",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996542102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia T Duncan
• Sandra L. Duncan, CMT, MLD, CDT
• Patrick Allen Dunlap
• Darlene S. Dunn, NP-C, PHD
• Abigail Dupre
• Heidi Durham, M.S., CCC-SLP
• Lee Anne Durham
• Seth Dye
• Jennifer Dykstra, REGISTERED NURSE
• Jessie Eakens

• Behavior Technician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Behavior Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.