Amanda Kathleen Dunlap, NP-C
Individual provider Active NPI Pediatrics Physician · Anchorage, AK
NPI 1780195727 · NPPES record last updated Oct 17, 2017
Key facts
- NPI
- 1780195727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 126708 (AK)
- Practice address
- 3340 Providence Dr Ste a-452
Anchorage, AK 99508-4691 - Phone
- (907) 562-2120
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126708 | AK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latouche Pediatrics | Pediatrics | Past | Accepting new patients |
| Latouche Pediatrics, LLC | Past |
Accepting new patients |
Interoperability endpoints
- amandadunlap@latouchepe.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 126708 | AK | Yes |
Addresses
Primary practice location
3340 Providence Dr Ste a-452
Anchorage, AK 99508-4691
Mailing address
13001 Elmore Rd
Anchorage, AK 99516-2907
Phone (907) 903-8914
Other providers in Anchorage, AK
- Macrina Dunaway
- Rachel Dunbar
- Jessilyn Rose Dunegan
- Chelsea Danielle Dunham
- Maya Gamez Dunham
- Joryan Dunlap
- Cynthia Dunleavy
- Sean Edward Dunleavy
- Colleen Dunn
- Frances Dunn
All providers in Anchorage, AK · Pediatrics Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2017. 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.