J. Dette Avalon, MSN, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

944 Issued in AK

Practice address

3524 East 15TH Ave
Anchorage, AK 99508

Phone

(907) 222-6601

Fax

(907) 222-6602

NPI assigned

Oct 3, 2006

Last updated

Nov 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1407940760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 EAST 15TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-222-6601",
            "fax_number": "902-222-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 EAST 15TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-222-6601",
            "fax_number": "907-222-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALON",
        "first_name": "J.",
        "middle_name": "DETTE",
        "name_prefix": "Ms.",
        "credential": "MSN, ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "308",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "944",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "308",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "944",
            "primary": false
        },
        {
            "code": "364SH1100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": "AK",
            "license": "944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autonomology, PC
• Meredith Autrey, PT, OCS, FAAOMPT
• Jasmine Auza
• Kristoffer Allen Portugaleza Auza, RN
• Avalia Health LLC
• Avante Medical Center, LLC
• Ave Holistic Health & Chiropractic, LLC (Ave Holistic & Chiropractic LLC)
• Avelina Assisted Living Home
• Avelina's Assisted Living Home
• Maribel Avendano-Jimenez

• Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.