Jude Mary Gaughan
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Anchorage, AK
NPI 1740172741 · NPPES record last updated Jul 16, 2025
Key facts
- NPI
- 1740172741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 235897 (AK)
- Practice address
- 101 W Benson Blvd Ste 306
Anchorage, AK 99503-3936 - Phone
- (907) 885-1089
- NPI assigned
- Jul 16, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235897 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Psychiatry of Alaska LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
101 W Benson Blvd
Ste 306
Anchorage, AK 99503
Phone (907) 885-1089
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 235897 | AK | Yes |
Addresses
Primary practice location
101 W Benson Blvd Ste 306
Anchorage, AK 99503-3936
Mailing address
101 W Benson Blvd Ste 306
Anchorage, AK 99503-3936
Phone (907) 885-1089
Other providers in Anchorage, AK
- Michelle Lynn Gastrock
- Gateway Care Coordination
- Joshua Bradly Gatlin
- Kirstin Lenore Gatterdam
- Cheukyin Gaudin
- Amber Gauthier
- Karen Ann Gauthier
- Raymond A Gauthier
- Christopher Gay
- Clarissa Javita Gay
All providers in Anchorage, AK · Psychiatric/Mental Health Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.