Individual provider Active NPI

Katie Bruels, RN

  • Registered Nurse
  • Juneau, AK
National Provider Identifier
1720206097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26029 Issued in AK
Practice address
3406 Glacier Hwy
Juneau, AK 99801-9501
Phone
(907) 463-3303
Fax
(907) 463-6858
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26029 AK Primary

Addresses

Primary practice location

3406 Glacier Hwy
Juneau, AK 99801-9501

Mailing address

3406 Glacier Hwy
Juneau, AK 99801-9501
Phone (907) 463-3303

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
26029AKMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720206097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 GLACIER HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019501",
            "telephone_number": "907-463-3303",
            "fax_number": "907-463-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 GLACIER HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019501",
            "telephone_number": "907-463-3303",
            "fax_number": "907-463-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUELS",
        "first_name": "KATIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "26029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.