Active NPI
Susan Oliver, ANP
- Primary Care Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1336289321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 953
- Practice address
- 3760 Piper Street
Suite 1087
Anchorage, AK 99504 - Phone
- (907) 212-6284
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 953 | AK | Primary |
Addresses
Primary practice location
3760 Piper Street
Suite 1087
Anchorage, AK 99504
Mailing address
7441 Foxridge Way
# H
Anchorage, AK 99518-2756
Phone (503) 910-4080
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 |
|---|---|---|---|
| 953 | AK | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336289321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7441 FOXRIDGE WAY",
"address_2": "# H",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995182756",
"telephone_number": "503-910-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3760 PIPER STREET",
"address_2": "SUITE 1087",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99504",
"telephone_number": "907-212-6284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "SUSAN",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AK",
"license": "953",
"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.