Marianne Vonhippel, MD

Individual provider Active NPI Developmental - Behavioral Pediatrics Physician · Anchorage, AK

NPI 1639285877 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1639285877
Entity type
Individual (NPI type 1)
Primary specialty
Developmental - Behavioral Pediatrics Physician 2080P0006X
License
AA0514 (AK)
Practice address
3340 Providence Dr Ste 452
Anchorage, AK 99508-4628
Phone
(907) 562-2120
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AA0514AKMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Latouche Pediatrics, LLC Past
since Dec 9, 2019
Accepting new patients
Latouche Pediatrics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X AA0514 AK Yes

Addresses

Primary practice location

3340 Providence Dr Ste 452
Anchorage, AK 99508-4628

Mailing address

3340 Providence Dr Ste 452
Anchorage, AK 99508-4628
Phone (907) 562-2120

Other identifiers

IdentifierTypeStateIssuer
MD0514MedicaidAK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639285877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR STE 452",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084628",
            "telephone_number": "907-562-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR STE 452",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084628",
            "telephone_number": "907-562-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONHIPPEL",
        "first_name": "MARIANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "AK",
            "license": "AA0514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD0514",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

All providers in Anchorage, AK · Developmental - Behavioral Pediatrics Physician in Alaska

Sources for this page

Verify at the official NPI Registry.