Individual provider Active NPI

Aide' Rodriguez Marcontell, HS1

  • Independent Duty Corpsman
  • Anchorage, AK
National Provider Identifier
1306971650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
1980 Anchorage Port Rd
MSST Anchorage (91111)
Anchorage, AK 99501-1022
Phone
(907) 271-8119
Fax
(907) 271-8140
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

1980 Anchorage Port Rd
MSST Anchorage (91111)
Anchorage, AK 99501-1022

Mailing address

1980 Anchorage Port Rd
MSST Anchorage (91111)
Anchorage, AK 99501-1022
Phone (907) 271-8119

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306971650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 ANCHORAGE PORT RD",
            "address_2": "MSST ANCHORAGE (91111)",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995011022",
            "telephone_number": "907-271-8119",
            "fax_number": "907-271-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 ANCHORAGE PORT RD",
            "address_2": "MSST ANCHORAGE (91111)",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995011022",
            "telephone_number": "907-271-8119",
            "fax_number": "907-271-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCONTELL",
        "first_name": "AIDE'",
        "middle_name": "RODRIGUEZ",
        "credential": "HS1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 8, 2007; 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.