NPIMap

Individual provider Active NPI

David Carroll Albritton, FNP-C

  • Family Nurse Practitioner
  • Soldotna, AK
National Provider Identifier
1376187799
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
181858 Issued in AK
Practice address
230 E Marydale Ave
Soldotna, AK 99669-7648
Phone
(907) 262-3119
Fax
(907) 262-9290
NPI assigned
Oct 29, 2019
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903565 MS
Family Nurse Practitioner 363LF0000X 181858 AK Primary

Addresses

Primary practice location

230 E Marydale Ave
Soldotna, AK 99669-7648

Mailing address

PO Box 2949
Soldotna, AK 99669-2949
Phone (907) 395-4303

Other practice location 1

914 Sumrall Rd
Columbia, MS 39429-2652
Phone (601) 731-1470

Other practice location 2

805 Frontage Rd
Kenai, AK 99611-9104
Phone (907) 283-3600

Other identifiers 1

IdentifierTypeStateIssuer
181858OtherAKSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20191216002041 MS Practitioner - Nurse Practitioner 2769816271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

300 Rawls Dr
Suite N
McComb, MS 39648-2877
Phone (601) 996-3101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903565MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Medical Services of Ms, Inc CurrentSince Oct 15, 2020 Accepting new patients
Internal Medicine Clinic of Columbia, P.a. CurrentSince Nov 5, 2019 Accepting new patients
Wound Care Associates LLC CurrentSince Oct 7, 2025 Accepting new patients
Peninsula Community Health Services of Alaska, Inc. CurrentSince Dec 13, 2021 Accepting new patients
Peninsula Community Health Services of Alaska, Inc. CurrentSince Dec 13, 2021 Accepting new patients

Locations

805 Frontage Rd
Kenai, AK 99611
Phone (907) 262-3119

230 E Marydale Ave
Soldotna, AK 99669
Phone (907) 262-3119

16065 Lamonte Dr
Hammond, LA 70403
Phone (855) 432-5328

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

914 Sumrall Rd
Columbia, MS 39429
Phone (601) 731-1470

300 Rawls Dr
Ste N
McComb, MS 39648
Phone (601) 996-3101

431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440

Organizations & group practices 5

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1376187799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2949",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996692949",
            "telephone_number": "907-395-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697648",
            "telephone_number": "907-262-3119",
            "fax_number": "907-262-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 Sumrall Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MS",
            "postal_code": "394292652",
            "country_code": "US",
            "telephone_number": "601-731-1470",
            "fax_number": "601-731-1474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Kenai",
            "state": "AK",
            "postal_code": "996119104",
            "country_code": "US",
            "telephone_number": "907-283-3600",
            "fax_number": "907-262-9290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBRITTON",
        "first_name": "DAVID",
        "middle_name": "CARROLL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "181858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "181858",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.