Stephanie Killingsworth, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

147307 Issued in AK

Practice address

4320 Diplomacy Dr
Anchorage, AK 99508-5925

Phone

(907) 729-1000

NPI assigned

Dec 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skillingsworth@direct.scf.cc

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McGrath, AK
  • NPI 1780614263

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  • Community Health Clinic/Center
  • Kokhanok, AK
  • NPI 1043689169
  NPD
• Southcentral Foundation

  • Multi-Specialty Clinic/Center
  • McGrath, AK
  • NPI 1063467223
  NPD
• Southcentral Foundation

  • Community Health Clinic/Center
  • Iguigig, AK
  • NPI 1144699216
  NPD
• Southcentral Foundation

  • Community Health Clinic/Center
  • Tyonek, AK
  • NPI 1609232040
  NPD
• Southcentral Foundation

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1689021776
  NPD
• Southcentral Foundation

  • Community Health Clinic/Center
  • Nondalton, AK
  • NPI 1740659192
  NPD
• Southcentral Foundation

  • Multi-Specialty Clinic/Center
  • Iliamna, AK
  • NPI 1912954272
  NPD
• Southcentral Foundation

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1255881637
  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1629616487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085925",
            "telephone_number": "907-729-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085925",
            "telephone_number": "907-729-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLINGSWORTH",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "147307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven James Kilkenny, MD
• Aryanna Killebrew
• Aisling Killian
• Stephani Killian, CRNA
• David Eric Killingsworth, L.P.N
• Brianna Killpatrick
• Kim Kobus PHD
• Kathleen Kim-Sreypeou
• Chang Inn Kim, PHARMD
• Christopher J Kim

• All providers in Anchorage, AK
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.