Individual provider Active NPI

Iluminada Lingad Ibay, CNA

  • Nursing Home Administrator
  • Anchorage, AK
National Provider Identifier
1437318540
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
100681 Issued in AK
Practice address
7619 Winchester St
Anchorage, AK 99507-4814
Phone
(907) 868-2738
Fax
(907) 868-2738
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 100681 AK Primary

Addresses

Primary practice location

7619 Winchester St
Anchorage, AK 99507-4814

Mailing address

7430 Randamar PL
Anchorage, AK 99507-5720
Phone (907) 868-2738

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

LicenseStateTypeSpecialty
100681AKMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Iluminada'S Assisted Living Home Past Accepting new patients
Iluminada'S Assisted Living Home II Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1437318540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 RANDAMAR PL",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995075720",
            "telephone_number": "907-868-2738",
            "fax_number": "907-868-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 WINCHESTER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074814",
            "telephone_number": "907-868-2738",
            "fax_number": "907-868-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBAY",
        "first_name": "ILUMINADA",
        "middle_name": "LINGAD",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "AK",
            "license": "100681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.