Active NPI
K-Beach Medical Inc.
- Family Nurse Practitioner
- Soldotna, AK
National Provider Identifier
1376066993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- K-BEACH MEDICAL INC.
- Practice address
- 43335 Kalifornsky Beach Rd Ste 18
Soldotna, AK 99669-8250 - Phone
- (907) 953-8040
- NPI assigned
- Jul 25, 2017
- Last updated
- Jul 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert McRorie Jr., PA
- Title
- President
- Phone
- (907) 953-8040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
43335 Kalifornsky Beach Rd Ste 18
Soldotna, AK 99669-8250
Mailing address
43335 Kalifornsky Beach Rd Ste 18
Soldotna, AK 99669-8250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
43335 Kalifornsky Beach Rd
Ste 18
Soldotna, AK 99669
Phone (907) 262-9993
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Kenai, AK
- NPI 1972906899
-
- Family Medicine Physician
- Kenai, AK
- NPI 1922444009
-
- Physician Assistant
- Big Lake, AK
- NPI 1316335235
-
- Internal Medicine Physician
- Soldotna, AK
- NPI 1881701407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500940800000",
"number": "1376066993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43335 KALIFORNSKY BEACH RD STE 18",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996698250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43335 KALIFORNSKY BEACH RD STE 18",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996698250",
"telephone_number": "907-953-8040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K-BEACH MEDICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-25",
"last_updated": "2017-07-25",
"status": "A",
"authorized_official_last_name": "MCRORIE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "907-953-8040",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.