Active NPI
Kimberly Sue Thorp
- Assisted Living Facility
- Anchorage, AK
National Provider Identifier
1598896649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 733686
- Practice address
- 6819 Rovenna St
Anchorage, AK 99518-2169 - Phone
- (907) 646-1412
- NPI assigned
- Mar 8, 2007
- 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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 733686 | AK | Primary |
Addresses
Primary practice location
6819 Rovenna St
Anchorage, AK 99518-2169
Mailing address
6819 Rovenna St
Anchorage, AK 99518-2169
Phone (907) 646-1412
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RL5274 | Medicaid | AK | |
| HC5274 | Medicaid | AK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 733686 | AK | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unangam Sismiilugaa | Assisted Living Facility | Past | 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": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1598896649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6819 ROVENNA ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995182169",
"telephone_number": "907-646-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6819 ROVENNA ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995182169",
"telephone_number": "907-646-1412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORP",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AK",
"license": "733686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RL5274",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HC5274",
"state": "AK"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.