Active NPI
Elizabeth Ashley Taylor, PA-C, ATC
- Physician Assistant
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 974
- Practice address
- 3340 Providence Dr Ste 358
Anchorage, AK 99508-4627 - Phone
- (907) 268-2067
- Fax
- (855) 395-0858
- NPI assigned
- Sep 14, 2009
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2119 | AK | |
| Physician Assistant | 363A00000X | 974 | AK | Primary |
Addresses
Primary practice location
3340 Providence Dr Ste 358
Anchorage, AK 99508-4627
Mailing address
3340 Providence Dr Ste 358
Anchorage, AK 99508-4627
Phone (907) 268-2067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1575278 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111108000691 | AK | Practitioner - Physician Assistant | 3072652338 | Reassigns benefits to 1 organization |
| I20200818004068 | TX | Practitioner - Physician Assistant | 3072652338 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alaska Family Dermatology LLC
Practice addresses (Care Compare)
3340 Providence Dr
Suite A358
Anchorage, AK 99508-4691
Phone (907) 268-2067
Hospital & facility affiliations
- Providence Alaska Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2119 | AK | MD | Physician Assistant |
| 974 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Native Tribal Health Consortium | Current | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
Interoperability endpoints
- etaylor88787@ak.providencedirect.org
Organizations & group practices 2
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1780917401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 PROVIDENCE DR STE 358",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084627",
"telephone_number": "907-268-2067",
"fax_number": "855-395-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 PROVIDENCE DR STE 358",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084627",
"telephone_number": "907-268-2067",
"fax_number": "855-395-0858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ELIZABETH",
"middle_name": "ASHLEY",
"credential": "PA-C, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-14",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "2119",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1575278",
"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 Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.