Individual provider Active NPI

Kyna Powers, FNP

  • Family Health Clinical Nurse Specialist
  • Anchorage, AK
National Provider Identifier
1790974079
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
412 Issued in AK
Practice address
300 E. Dimond Blvd.
Suite 12
Anchorage, AK 99515
Phone
(907) 341-7757
Fax
(907) 341-7760
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 412 AK Primary

Addresses

Primary practice location

300 E. Dimond Blvd.
Suite 12
Anchorage, AK 99515

Mailing address

300 E. Dimond Blvd.
Suite 12
Anchorage, AK 99515
Phone (907) 341-7757

Other identifiers 1

IdentifierTypeStateIssuer
1683477MedicaidAK

Other names 1

  • Kyna Kyna Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190218000090 AK Practitioner - Nurse Practitioner 1153669106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Urgent Care LLCGroup PAC ID 1355574484, 13 clinicians

Practice addresses (Care Compare)

300 E Dimond Blvd
Anchorage, AK 99515-1948
Phone (907) 341-7757

300 E Dimond Blvd
Unit 12a
Anchorage, AK 99515-1908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
412AKMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Urgent Care, LLC CurrentSince Jan 12, 2019 Accepting new patients
Alaska Medical Clinics, LLC PastSince Dec 15, 2008 Accepting new patients

Locations

300 E Dimond Blvd
Ste 12
Anchorage, AK 99515
Phone (907) 341-7722

300 E Dimond Blvd
Ste 12A
Anchorage, AK 99515
Phone (907) 341-7757

1700 E Parks Hwy
Ste 200
Wasilla, AK 99654
Phone (907) 373-6055

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1790974079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E. DIMOND BLVD.",
            "address_2": "SUITE 12",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-341-7757",
            "fax_number": "907-341-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E. DIMOND BLVD.",
            "address_2": "SUITE 12",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-341-7757",
            "fax_number": "907-341-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "KYNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AK",
            "license": "412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1683477",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYNA",
            "last_name": "KYNA",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.