Individual provider Active NPI

Amy Lasher, ANP

  • Obstetrics & Gynecology Nurse Practitioner
  • Fairbanks, AK
National Provider Identifier
1265407522
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
656 Issued in AK
Practice address
1626 30TH Ave
Fairbanks, AK 99701-7423
Phone
(907) 479-7701
Fax
(907) 479-7718
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 656 AK
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 656 AK Primary

Addresses

Primary practice location

1626 30TH Ave
Fairbanks, AK 99701-7423

Mailing address

1626 30TH Ave
Fairbanks, AK 99701-7423
Phone (907) 479-7701

Other names 1

  • Amy Holliday Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000447 AK Practitioner - Nurse Practitioner 4082604046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interior Womens Health LLCGroup PAC ID 1658268735, 3 clinicians

Practice addresses (Care Compare)

1626 30TH Ave
Fairbanks, AK 99701-7466
Phone (907) 479-7701

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
656AKMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interior Women'S Health, LLC CurrentSince Jan 1, 2008 Accepting new patients

Locations

1626 30th Ave
Fairbanks, AK 99701
Phone (907) 479-0332

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265407522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 30TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017423",
            "telephone_number": "907-479-7701",
            "fax_number": "907-479-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 30TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017423",
            "telephone_number": "907-479-7701",
            "fax_number": "907-479-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHER",
        "first_name": "AMY",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "656",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AK",
            "license": "656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HOLLIDAY",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.