Andrea Abena

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

309 Erskine Ave Apt 208
Kodiak, AK 99615-6390

Phone

(907) 539-8827

Fax

(907) 486-8292

NPI assigned

Feb 18, 2019

Last updated

Feb 18, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sunrise Assisted Living Facility, LLC

  • Assisted Living Facility
  • Kodiak, AK
  • NPI 1659839892
  Authorized official Same address or phone

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1417413121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ERSKINE AVE APT 208",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156390",
            "telephone_number": "907-539-8827",
            "fax_number": "907-486-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ERSKINE AVE APT 208",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156390",
            "telephone_number": "907-539-8827",
            "fax_number": "907-486-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENA",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 'Gentle Dentistry' Jennifer Spivey DDS
• A Kodiak Welcome Bed and Breakfast
• Patricia Abell
• Erica Haley Aberle, HEALTH SERV TECH
• Benito Artillero Achas, CDC1
• Katherine Marie Adams Rogers
• Robert Daniel Aga
• Maria Romina Aguilar

• Assisted Living Facility in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.