Active NPI
Jane A Sublette
- Obstetrics & Gynecology Nurse Practitioner
- Fort Wainwright, AK
National Provider Identifier
1366596512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- Practice address
- 1060 Gaffney Rd Ste 7440
Commander USA Meddac Ak McUc MMD Attn Credentials
Ft Wainwright, AK 99703-7440 - Phone
- (907) 353-5418
- Fax
- (907) 353-4847
- NPI assigned
- Jan 23, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | IL | Primary |
Addresses
Primary practice location
1060 Gaffney Rd Ste 7440
Commander USA Meddac Ak McUc MMD Attn Credentials
Ft Wainwright, AK 99703-7440
Mailing address
1060 Gaffney Rd Ste 7440
Commander USA Meddac Ak McUc MMD Attn Credentials
Ft Wainwright, AK 99703-7440
Phone (907) 353-5418
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 |
|---|---|---|---|
| 209003940 | IL | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366596512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD STE 7440",
"address_2": "COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997037440",
"telephone_number": "907-353-5418",
"fax_number": "907-353-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD STE 7440",
"address_2": "COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997037440",
"telephone_number": "907-353-5418",
"fax_number": "907-353-4847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBLETTE",
"first_name": "JANE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wainwright, 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.