Gina Fronteras Pentecostes, ADMINISTRATOR

Individual provider Active NPI Nurse's Aide · Anchorage, AK

NPI 1760116016 · NPPES record last updated Jul 13, 2022

Key facts

NPI
1760116016
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
NUAA12966 (AK)
Practice address
520 Carin PL # 2
Anchorage, AK 99504-1976
Phone
(907) 444-1519
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
NUAA12966AKMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Beneficence Assisted Living Home LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NUAA12966 AK Yes

Addresses

Primary practice location

520 Carin PL # 2
Anchorage, AK 99504-1976

Mailing address

520 Carin PL # 2
Anchorage, AK 99504-1976

Other names

  • Gina Fronteras Wright Former name

Other providers in Anchorage, AK

All providers in Anchorage, AK · Nurse's Aide in Alaska

Sources for this page

Verify at the official NPI Registry.