Department of Defense

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

DEPARTMENT OF DEFENSE

Practice address

5955 Zeamer Ave
Anchorage, AK 99506-3702

Phone

(907) 580-1902

NPI assigned

Mar 13, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Golden

Title

Cliinical Manager

Phone

(907) 580-6221

Specialties & licenses 1

Addresses

Tax ID family

McDonald Army Health Care Center200 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1669898623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF DEFENSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CLIINICAL MANAGER",
        "authorized_official_telephone_number": "907-580-6221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentistry for Children, Inc
• Hanna Denton
• Sandra C Denton, MD
• Shawna Denton
• Ray Depalatis, PH.D., L.P.C.
• Mary Depew, LPN
• Hannah Marianne Sybil Deraedt, NP
• Matthew Francis Deraedt, PHARMD
• Derek Cluff DMD LLC
• Derek Green DMD LLC

• Registered Nurse in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.