Deborah Lena Coolidge, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

501 1St Street
Prudhoe Bay, AK 99734

Phone

(907) 685-1725

Fax

(907) 357-9593

NPI assigned

Jan 9, 2009

Last updated

Nov 29, 2023By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Medical Network of Alaska, LLC

  dba Capstone Urgent Care

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1538414834
  Medicare reassignment
• Mountain View Health Services

  • Health Service Clinic/Center
  • Anchorage, AK
  • NPI 1669082392
  Medicare reassignment
• Kabo Health LLC

  dba Mountain View Urgent Care

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1346777505
  NPD
• Medical Network of Alaska, LLC

  dba MNA Laboratory

  • Clinical Medical Laboratory
  • Wasilla, AK
  • NPI 1467167585
  NPD
• Medical Network of Alaska, LLC

  dba Capstone Family Medicine

  • Specialist
  • Wasilla, AK
  • NPI 1508089046
  NPD
• Medical Network of Alaska, LLC

  dba Resound ENT

  • Otolaryngology Physician
  • Anchorage, AK
  • NPI 1922862986
  NPD

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1265679401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 E MERIDIAN PARK LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547255",
            "telephone_number": "907-864-4625",
            "fax_number": "907-313-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 1ST STREET",
            "city": "PRUDHOE BAY",
            "state": "AK",
            "postal_code": "99734",
            "telephone_number": "907-685-1725",
            "fax_number": "907-357-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLIDGE",
        "first_name": "DEBORAH",
        "middle_name": "LENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon Occupational Health Safety Services
• Michael Seymour, PA

• Physician Assistant in Prudhoe Bay, AK
• Providers in Prudhoe Bay, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.