Individual provider Active NPI

Frances Ann Penvenne, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1801072434
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
271 Issued in AK
Practice address
2000 E 88TH Ave Ste 200
Anchorage, AK 99507-3879
Phone
(907) 258-3446
NPI assigned
Jan 14, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 271 AK Primary

Addresses

Primary practice location

2000 E 88TH Ave Ste 200
Anchorage, AK 99507-3879

Mailing address

2000 E 88TH Ave Ste 200
PO Box 103296
Anchorage, AK 99507-3879
Phone (907) 258-3446

Other identifiers 1

IdentifierTypeStateIssuer
CL3490MedicaidAK

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

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1801072434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E 88TH AVE STE 200",
            "address_2": "PO BOX 103296",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073879",
            "telephone_number": "907-258-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E 88TH AVE STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073879",
            "telephone_number": "907-258-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENVENNE",
        "first_name": "FRANCES",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CL3490",
            "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 Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.