Active NPI
Marilyn J Dougher, RNC
- Registered Nurse
- Anchorage, AK
National Provider Identifier
1285744169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- AK 10505
- Practice address
- 3200 Providence Dr
Providence Alaska Medical Center
Anchorage, AK 99508-4615 - Phone
- (907) 562-2211
- NPI assigned
- Aug 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | AK 10505 | AK | Primary |
Addresses
Primary practice location
3200 Providence Dr
Providence Alaska Medical Center
Anchorage, AK 99508-4615
Mailing address
8290 Opal Drive
Anchorage, AK 99502-4546
Phone (907) 243-2259
Other names 1
- Marilyn J Smith
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK 10505 | AK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1285744169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8290 OPAL DRIVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995024546",
"telephone_number": "907-243-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PROVIDENCE DR",
"address_2": "PROVIDENCE ALASKA MEDICAL CENTER",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084615",
"telephone_number": "907-562-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHER",
"first_name": "MARILYN",
"middle_name": "J",
"credential": "RNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "AK 10505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARILYN",
"last_name": "SMITH",
"middle_name": "J",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.