Andrea Dubenezic, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

NUR R 25659 Issued in AK

Practice address

1025 W. Barnette St.
Fairbanks Regional Public Health Center
Fairbanks, AK 99701

Phone

(907) 451-1652

Fax

(907) 451-1611

NPI assigned

Mar 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• State of Alaska Department of Administration

  • Psychiatric Hospital
  • Anchorage, AK
  • NPI 1497842553
  NPD (past)

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1255724464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W BARNETTE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014539",
            "telephone_number": "907-451-1652",
            "fax_number": "907-451-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W. BARNETTE ST.",
            "address_2": "FAIRBANKS REGIONAL PUBLIC HEALTH CENTER",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-451-1652",
            "fax_number": "907-451-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBENEZIC",
        "first_name": "ANDREA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NUR R 25659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Richard McKinley, LLC
• Todd Draper, ARNP
• Driftwood Counseling LLC
• Rebecca Lovelle Druck
• Carolyn Drysdale
• Deborah Jean Dudley
• Timothy Antonio Dudley
• Elizabeth Duffy
• Starla M Dufresne, LMT
• Kimberly Erika Dugas, OTR/L

• Registered Nurse in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.