Active NPI
Kelly Tschida, NP-C
- Family Nurse Practitioner
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1142
- Practice address
- 4951 Business Park Blvd
Anchorage, AK 99503 - Phone
- (907) 743-7200
- NPI assigned
- Mar 22, 2010
- Last updated
- Oct 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP 60128758 | WA | |
| Family Nurse Practitioner | 363LF0000X | 1142 | AK | Primary |
Addresses
Primary practice location
4951 Business Park Blvd
Anchorage, AK 99503
Mailing address
4951 Business Park Blvd
Anchorage, AK 99503-7174
Phone (907) 743-7200
Other practice location 1
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (800) 478-3343
Other practice location 2
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (800) 478-3343
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1142 | AK | MD | Clinical Social Worker |
| AP 60128758 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cable & McCormick Apc | Past | Accepting new patients | |
| Rehabilitation Medicine Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Diagnostic Imaging of AK
- Diagnostic Radiology Physician
- Anchorage, AK
- NPI 1649275389
-
dba Alaska Spine Institute
- Rehabilitation Practitioner
- Anchorage, AK
- NPI 1831194562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1346564200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 BUSINESS PARK BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995037174",
"telephone_number": "907-743-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 BUSINESS PARK BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99503",
"telephone_number": "907-743-7200"
}
],
"practiceLocations": [
{
"address_1": "4315 Diplomacy Dr",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995085926",
"country_code": "US",
"telephone_number": "800-478-3343",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4315 Diplomacy Dr",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995085926",
"country_code": "US",
"telephone_number": "800-478-3343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSCHIDA",
"first_name": "KELLY",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-22",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP 60128758",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "1142",
"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 Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.