Amber Herrmann

Individual provider Active NPI Day Training/Habilitation Specialist · Anchorage, AK

NPI 1245855428 · NPPES record last updated Jun 12, 2020

Key facts

NPI
1245855428
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
7521 Brayton Dr
Anchorage, AK 99507-2667
Phone
(907) 929-5826
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

7521 Brayton Dr
Anchorage, AK 99507-2667

Mailing address

7521 Brayton Dr
Anchorage, AK 99507-2667
Phone (907) 929-5826

Other identifiers

IdentifierTypeStateIssuer
N.AOtherAKN.A

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2020.

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1245855428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 BRAYTON DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072667",
            "telephone_number": "907-929-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 BRAYTON DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072667",
            "telephone_number": "907-929-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.A",
            "identifier": "N.A",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

All providers in Anchorage, AK · Day Training/Habilitation Specialist in Alaska

Sources for this page

Verify at the official NPI Registry.