Active NPI
Nancy J Ouimet, MD
- Pediatrics Physician
- Eagle River, AK
National Provider Identifier
1285649731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2036
- Practice address
- 12110 Business Blvd
Suite 6 PMB 376
Eagle River, AK 99577-7741 - Phone
- (907) 301-9416
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2036 | AK | Primary |
Addresses
Primary practice location
12110 Business Blvd
Suite 6 PMB 376
Eagle River, AK 99577-7741
Mailing address
12110 Business Blvd
Suite 6 PMB 376
Eagle River, AK 99577-7741
Phone (907) 301-9416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD20361 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2036 | AK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1285649731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12110 BUSINESS BLVD",
"address_2": "SUITE 6 PMB 376",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777741",
"telephone_number": "907-301-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12110 BUSINESS BLVD",
"address_2": "SUITE 6 PMB 376",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777741",
"telephone_number": "907-301-9416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUIMET",
"first_name": "NANCY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AK",
"license": "2036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD20361",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.