Individual provider Active NPI

Katherine M Magnuson, M.D.

  • Pediatrics Physician
  • Anchorage, AK
National Provider Identifier
1487932513
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
60322-20 Issued in WI
Practice address
3340 Providence Drive
Suite 452
Anchorage, AK 99508-4628
Phone
(907) 562-2120
Fax
(907) 562-6527
NPI assigned
Jul 22, 2011
Last updated
May 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60322-20 WI Primary

Addresses

Primary practice location

3340 Providence Drive
Suite 452
Anchorage, AK 99508-4628

Mailing address

3340 Providence Drive
Suite 452
Anchorage, AK 99508-4628
Phone (907) 562-2120

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60322-20WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Latouche Pediatrics, LLC CurrentSince Jun 5, 2022 Accepting new patients
Latouche Pediatrics Pediatrics Past Accepting new patients

Locations

3340 Providence Dr
Ste 452
Anchorage, AK 99508
Phone (907) 562-2120

Interoperability endpoints

  • Direct secure messaging: katherinemagnuson@latouchepe.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1487932513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DRIVE",
            "address_2": "SUITE 452",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084628",
            "telephone_number": "907-562-2120",
            "fax_number": "907-562-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DRIVE",
            "address_2": "SUITE 452",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084628",
            "telephone_number": "907-562-2120",
            "fax_number": "907-562-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "60322-20",
            "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 May 28, 2022; 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.