Active NPI
Judith Mathilda Lindenfelser
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Eagle River, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 338
- Practice address
- 16635 Centerfield Dr
Suite 200
Eagle River, AK 99577-7719 - Phone
- (907) 694-0493
- Fax
- (907) 694-0933
- NPI assigned
- Sep 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 338 | AK | Primary |
Addresses
Primary practice location
16635 Centerfield Dr
Suite 200
Eagle River, AK 99577-7719
Mailing address
16635 Centerfield Dr
Suite 200
Eagle River, AK 99577-7719
Phone (907) 694-0493
Other names 1
- Mrs. Judith Mathilda O'Connor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11470 Business Blvd
Suite 100
Eagle River, AK 99577-7780
Phone (907) 689-3450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338 | AK | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Solutions of Alaska LLC | Current | Accepting new patients |
Locations
701 E Tudor Rd
Ste 215
Anchorage, AK 99503
Phone (907) 644-8044
11470 Business Blvd
Ste 100
Eagle River, AK 99577
Phone (907) 622-4325
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anchorage, AK
- NPI 1477682623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1528218302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16635 CENTERFIELD DR",
"address_2": "SUITE 200",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777719",
"telephone_number": "907-694-0493",
"fax_number": "907-694-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16635 CENTERFIELD DR",
"address_2": "SUITE 200",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777719",
"telephone_number": "907-694-0493",
"fax_number": "907-694-0933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDENFELSER",
"first_name": "JUDITH",
"middle_name": "MATHILDA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "AK",
"license": "338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "O'CONNOR",
"middle_name": "MATHILDA",
"prefix": "MRS.",
"credential": "A.N.P.",
"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 Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.