Individual provider Active NPI

Joanne Matias Powell

  • Nursing Home Administrator
  • Anchorage, AK
National Provider Identifier
1568133239
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
101424 Issued in AK
Practice address
310 E 46TH Ave
Anchorage, AK 99503-7308
Phone
(907) 205-0696
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 101424 AK Primary

Addresses

Primary practice location

310 E 46TH Ave
Anchorage, AK 99503-7308

Mailing address

3720 Galactica Dr
Anchorage, AK 99517-1586
Phone (907) 205-0696

Other practice location 1

3720 Galactica Dr
Anchorage, AK 99517-1586
Phone (907) 205-0696

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
101424AKMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lining Alh LLC CurrentSince Sep 28, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1568133239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 GALACTICA DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171586",
            "telephone_number": "907-205-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 46TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037308",
            "telephone_number": "907-205-0696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Galactica Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995171586",
            "country_code": "US",
            "telephone_number": "907-205-0696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JOANNE",
        "middle_name": "MATIAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "AK",
            "license": "101424",
            "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 Sep 23, 2021; 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.