Active NPI
Nancy Colleen Spooner, ANP
- Women's Health Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1760678726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 647
- Practice address
- 4001 Lake Otis Parkway
#101
Anchorage, AK 99508 - Phone
- (907) 563-2229
- Fax
- (907) 563-7419
- NPI assigned
- Sep 23, 2007
- Last updated
- Oct 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R63683 | NM | |
| Women's Health Nurse Practitioner | 363LW0102X | 647 | AK | Primary |
Addresses
Primary practice location
4001 Lake Otis Parkway
#101
Anchorage, AK 99508
Mailing address
4001 Lake Otis Parkway
#101
Anchorage, AK 99508
Phone (907) 563-2229
Other names 1
- Miss Nancy Colleen McGurn
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 647 | AK | MD | Clinical Social Worker |
| R63683 | NM | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1760678726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 LAKE OTIS PARKWAY",
"address_2": "#101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508",
"telephone_number": "907-563-2229",
"fax_number": "907-563-7419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 LAKE OTIS PARKWAY",
"address_2": "#101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508",
"telephone_number": "907-563-2229",
"fax_number": "907-563-7419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOONER",
"first_name": "NANCY",
"middle_name": "COLLEEN",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-23",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NM",
"license": "R63683",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AK",
"license": "647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "MCGURN",
"middle_name": "COLLEEN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anchorage, AK
- Spiral Way Therapeutics LLC
- Melissa Ann Spires
- Spiritual Restoration Ministry LLC. (Ready Set Launch Reentry Program and Support Services)
- Emily Splinter-Felton, LCSW
- Kasaundra Spoerri
- Sports & Spinal Injury Clinic, LLC
- Sports & Spinal Injury Clinic,LLC
- Clair Sportsman, LCSW
- To'Drickian Spradley
- Wendy Sprague, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.