Keely Jae Falcon Baumgartner
Individual provider Active NPI Ambulatory Care Registered Nurse · Haines, AK
NPI 1538082235 · NPPES record last updated Jul 31, 2026
Key facts
- NPI
- 1538082235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- NURR29695 (AK)
- Practice address
- 131 First Avenue South
Haines, AK 99827 - Phone
- (907) 766-6300
- Fax
- (907) 463-0675
- NPI assigned
- Jul 31, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | NURR29695 | AK | Yes |
Addresses
Primary practice location
131 First Avenue South
Haines, AK 99827
Mailing address
131 First Avenue South
Haines, AK 99827
Phone (907) 766-6300
Other providers in Haines, AK
- Cynthia Allen
- Julie Marie Anderson
- Noble Eric Anderson
- Arctic Chiropractic Haines
- Matthew William Barkofske
- Marjorie Beck
- Body Iq Physical Therapy and Yoga
- Boreal Therapy
- Robert Bowers
- Rebecca Q Brewer
All providers in Haines, AK · Ambulatory Care Registered Nurse in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.