Ellie Marie Servia, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

106954 Issued in AK

Practice address

3801 University Lake Dr Ste 220
Anchorage, AK 99508

Phone

(907) 729-8844

Fax

(907) 729-1474

NPI assigned

Feb 3, 2016

Last updated

Dec 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Southcentral Foundation

  dba BSD- Detox

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1255881637
  NPD (past)
• Southcentral Foundation

  dba Tribal/HPG- Benteh Nuutah Primary Care Center (BNPCC)

  • Multi-Specialty Clinic/Center
  • Wasilla, AK
  • NPI 1386680056
  NPD (past)

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1710345806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY LAKE DR STE 220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084658",
            "telephone_number": "907-202-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY LAKE DR STE 220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-729-8844",
            "fax_number": "907-729-1474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Lake Otis Pkwy",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085226",
            "country_code": "US",
            "telephone_number": "907-561-1326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERVIA",
        "first_name": "ELLIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AK",
            "license": "106954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Seropian, LCSW
• Natalie Serrano-Ledesma
• Diana Serrano
• Imelda B Serrano, RN
• Jacquelyn Louise Serrano, MD, MPH
• Nikki Sese, RN
• Blake Sessions, D.M.D.
• Adren Setian
• Linda Setterberg, PSS
• Stephen Holloway Settle Jr., MD

• Audiologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Audiologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.