Kristin Leanne Birdsong, ARNP
Individual provider Active NPI Critical Care Neonatal Nurse Practitioner · Anchorage, AK
NPI 1669423208 · NPPES record last updated Jul 20, 2015
Key facts
- NPI
- 1669423208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Neonatal Nurse Practitioner 363LN0005X
- License
- 899 (AK)
- Practice address
- 3340 Providence Dr
Suite 366
Anchorage, AK 99508-4616 - Phone
- (907) 563-3026
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120402000372 | AK | Order and Referring Only - Nurse Practitioner | 9436319290 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 899 | AK | MD | Pharmacist |
Interoperability endpoints
- kbirdsong672962@nychhc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 899 | AK | Yes |
Addresses
Primary practice location
3340 Providence Dr
Suite 366
Anchorage, AK 99508-4616
Mailing address
12799 Ginami St
Anchorage, AK 99516-3351
Phone (907) 306-6110
Other providers in Anchorage, AK
- Andrea Birch
- Samantha Birchem
- Shauna Marie Birdsall
- Stephanie Joy Birdsall
- Devry Birdsell
- Mary Louise Birkey
- Birthways Midwifery Care, LLC
- Birthways Midwifery, LLC
- Charles Toney Bischoff
- Herbert G W Bischoff
All providers in Anchorage, AK · Critical Care Neonatal Nurse Practitioner 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 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.