Individual provider Active NPI

Kristel Talley, RN

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1699215137
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
101221 Issued in AK
Practice address
3120 W 79TH Ave
Anchorage, AK 99502-4406
Phone
(907) 929-3120
Fax
(907) 929-3121
NPI assigned
Mar 2, 2017
Last updated
Mar 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 101221 AK Primary

Addresses

Primary practice location

3120 W 79TH Ave
Anchorage, AK 99502-4406

Mailing address

11950 Suncrest Dr
Anchorage, AK 99515-3129
Phone (907) 227-5306

Other identifiers 1

IdentifierTypeStateIssuer
814482636MedicaidAK

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
101221AKMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Care Assisted Living LLC Assisted Living Facility Past Accepting new patients

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": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1699215137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 SUNCREST DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153129",
            "telephone_number": "907-227-5306",
            "fax_number": "907-929-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W 79TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024406",
            "telephone_number": "907-929-3120",
            "fax_number": "907-929-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "KRISTEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "814482636",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.