Individual provider Active NPI

Rachel Arnold, FNP-C

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1689034241
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106119 Issued in AK
Practice address
11260 Old Seward Hwy
Suite 107
Anchorage, AK 99515-3098
Phone
(907) 433-5100
Fax
(907) 433-5110
NPI assigned
Feb 25, 2016
Last updated
Feb 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 106119 AK Primary
Registered Nurse 163W00000X 104403 AK
Registered Nurse 163W00000X RN60223753 WA

Addresses

Primary practice location

11260 Old Seward Hwy
Suite 107
Anchorage, AK 99515-3098

Mailing address

11260 Old Seward Hwy
Suite 107
Anchorage, AK 99515-3098
Phone (907) 433-5100

Other names 1

  • Rachel Fujimoto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20221122001678 WA Practitioner - Nurse Practitioner 4789976069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60223753WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Queen Anne Medical Associates, PLLC Family CurrentSince Mar 21, 2019 Accepting new patients

Locations

200 W Mercer St
Ste 104
Seattle, WA 98119
Phone (206) 281-7163

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5263/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1689034241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 OLD SEWARD HWY",
            "address_2": "SUITE 107",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153098",
            "telephone_number": "907-433-5100",
            "fax_number": "907-433-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 OLD SEWARD HWY",
            "address_2": "SUITE 107",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153098",
            "telephone_number": "907-433-5100",
            "fax_number": "907-433-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "RACHEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "106119",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "104403",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60223753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "FUJIMOTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.