Individual provider Active NPI

Chelsea Barbara Phan Dana, FNP

  • Family Nurse Practitioner
  • Eagle River, AK
National Provider Identifier
1457180291
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226444 Issued in AK
Practice address
10928 Eagle River Rd Ste 100
Eagle River, AK 99577-8079
Phone
(907) 726-4682
NPI assigned
Jul 30, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NURR38342 AK
Family Nurse Practitioner 363LF0000X 226444 AK Primary

Addresses

Primary practice location

10928 Eagle River Rd Ste 100
Eagle River, AK 99577-8079

Mailing address

10928 Eagle River Rd Ste 100
Eagle River, AK 99577-8079
Phone (907) 726-4682

Other practice location 1

591 N Knik St Ste E
Wasilla, AK 99654-7062
Phone (907) 203-0044

Other names 1

  • Chelsea Barbara Phan Guarco Former name

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
NURR38342AKMDRegistered Nurse
226444AKMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1457180291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD STE 100",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778079",
            "telephone_number": "907-726-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD STE 100",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778079",
            "telephone_number": "907-726-4682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "591 N Knik St Ste E",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547062",
            "country_code": "US",
            "telephone_number": "907-203-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANA",
        "first_name": "CHELSEA",
        "middle_name": "BARBARA PHAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NURR38342",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "226444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "GUARCO",
            "middle_name": "BARBARA PHAN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.