NPIMap

Individual provider Active NPI

Tanecia Webster, NP

  • Nurse Practitioner
  • Soldotna, AK
National Provider Identifier
1356821540
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
136045 Issued in AK
Practice address
36570 Kenai Spur Hwy
Ste 103a
Soldotna, AK 99669
Phone
(907) 260-1655
Fax
(855) 854-8577
NPI assigned
Aug 16, 2018
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 136045 AK Primary

Addresses

Primary practice location

36570 Kenai Spur Hwy
Ste 103a
Soldotna, AK 99669

Mailing address

36570 Kenai Spur Hwy
Ste 103a
Soldotna, AK 99669
Phone (907) 260-1655

Other practice location 1

10543 Kenai Spur Hwy
Kenai, AK 99611-7812
Phone (907) 283-9118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009003528 AK Practitioner - Nurse Practitioner 6305198995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River Health and Wellness, LLCGroup PAC ID 2163754540, 3 clinicians

Practice addresses (Care Compare)

35671 Kenai Spur Hwy
Soldotna, AK 99669-7627
Phone (907) 260-1655

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
136045AKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Health & Wellness, LLC. CurrentSince Sep 17, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20415/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tanecia.webster.1@20415.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1356821540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36570 KENAI SPUR HWY",
            "address_2": "STE 103A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-260-1655",
            "fax_number": "855-854-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36570 KENAI SPUR HWY",
            "address_2": "STE 103A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-260-1655",
            "fax_number": "855-854-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10543 Kenai Spur Hwy",
            "address_purpose": "LOCATION",
            "city": "Kenai",
            "state": "AK",
            "postal_code": "996117812",
            "country_code": "US",
            "telephone_number": "907-283-9118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "TANECIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "136045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.