Individual provider Active NPI

Stellina Essim, RN

  • Case Management Registered Nurse
  • Anchorage, AK
National Provider Identifier
1447654371
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
163WC0400X Issued in AK
Practice address
3380 C St Ste 107
Anchorage, AK 99503-3949
Phone
(907) 644-7952
Fax
(907) 644-7953
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 163WC0400X AK Primary

Addresses

Primary practice location

3380 C St Ste 107
Anchorage, AK 99503-3949

Mailing address

3380 C St Ste 107
Anchorage, AK 99503-3949
Phone (907) 644-7952

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
163WC0400XAKMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1447654371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 C ST STE 107",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033949",
            "telephone_number": "907-644-7952",
            "fax_number": "907-644-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 C ST STE 107",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033949",
            "telephone_number": "907-644-7952",
            "fax_number": "907-644-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSIM",
        "first_name": "STELLINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AK",
            "license": "163WC0400X",
            "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 Oct 21, 2014; 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.