Active NPI
Paula Loftis
- Family Nurse Practitioner
- Palmer, AK
National Provider Identifier
1356906408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 154623
- Practice address
- 8751 E Mile 6 Rd
Palmer, AK 99645-8079 - Phone
- (813) 841-0163
- NPI assigned
- May 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | APRN11002185 | FL | |
| Family Nurse Practitioner | 363LF0000X | 154623 | AK | Primary |
Addresses
Primary practice location
8751 E Mile 6 Rd
Palmer, AK 99645-8079
Mailing address
8751 E Mile 6 Rd
Palmer, AK 99645-8079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154623 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Anesthesia Medical Services 1, PA | Current | Accepting new patients | |
| Arctic Medical Center | Current | Accepting new patients |
Locations
218 W 34th Ave
Anchorage, AK 99503
Phone (907) 290-5500
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
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 and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Anchorage, AK
- NPI 1962040006
-
- Pain Medicine (Anesthesiology) Physician
- Sun City Center, FL
- NPI 1467949776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1356906408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8751 E MILE 6 RD",
"city": "PALMER",
"state": "AK",
"postal_code": "996458079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8751 E MILE 6 RD",
"city": "PALMER",
"state": "AK",
"postal_code": "996458079",
"telephone_number": "813-841-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFTIS",
"first_name": "PAULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-04",
"last_updated": "2021-03-08",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11002185",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "154623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.