Active NPI
Altagracia Mora Depaula
- Personal Care Attendant
- Anchorage, AK
National Provider Identifier
1356771851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 1004886
- Practice address
- 1399 W 34TH Ave Ste 101
Anchorage, AK 99503-3659 - Phone
- (907) 929-2828
- Fax
- (907) 929-5858
- NPI assigned
- Nov 19, 2013
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 1004886 | AK | Primary |
Addresses
Primary practice location
1399 W 34TH Ave Ste 101
Anchorage, AK 99503-3659
Mailing address
735 E 9TH Ave Apt 4
Anchorage, AK 99501-6204
Phone (907) 744-0597
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 |
|---|---|---|---|
| 1004886 | AK | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1356771851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 E 9TH AVE APT 4",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995016204",
"telephone_number": "907-744-0597",
"fax_number": "907-929-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 W 34TH AVE STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033659",
"telephone_number": "907-929-2828",
"fax_number": "907-929-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA DEPAULA",
"first_name": "ALTAGRACIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "AK",
"license": "1004886",
"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 Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.