Organization Active NPI

Patients First Medical Clinic LLC

  • Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1730113739
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
666 Issued in AK
Legal business name
PATIENTS FIRST MEDICAL CLINIC LLC
Practice address
6307 Debarr Rd
Suite C
Anchorage, AK 99504-1701
Phone
(907) 333-7425
Fax
(907) 333-7719
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Laura F Martin
Title
Office Manager
Phone
(907) 375-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 666 AK Primary

Addresses

Primary practice location

6307 Debarr Rd
Suite C
Anchorage, AK 99504-1701

Mailing address

PO Box 110413
Anchorage, AK 99511-0413
Phone (907) 333-7425

Other identifiers 6

IdentifierTypeStateIssuer
MD14492MedicaidAK
NP6817MedicaidAK
NP39831MedicaidAK
NP5159MedicaidAK
NP99111MedicaidAK
MDA0056MedicaidAK

National Provider Directory

National Provider Directory

Locations

6307 Debarr Rd
Anchorage, AK 99504
Phone (907) 333-7425

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1730113739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110413",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110413",
            "telephone_number": "907-333-7425",
            "fax_number": "907-333-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 DEBARR RD",
            "address_2": "SUITE C",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041701",
            "telephone_number": "907-333-7425",
            "fax_number": "907-333-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS FIRST MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-375-5200"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD14492",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP6817",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP39831",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5159",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP99111",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDA0056",
            "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 Oct 8, 2024; 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.