NPIMap

Individual provider Active NPI

Kathleen Louise Healy, ANP, RN

  • Family Nurse Practitioner
  • McGrath, AK
National Provider Identifier
1811990575
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
734 Issued in AK
Practice address
10 Takotna Ave.
McGrath, AK 99627-9800
Phone
(907) 729-8624
NPI assigned
May 24, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 734 AK Primary
Family Nurse Practitioner 363LF0000X ANP 734 AK

Addresses

Primary practice location

10 Takotna Ave.
McGrath, AK 99627-9800

Mailing address

4201 Tudor Centre Dr
Suite #320
Anchorage, AK 99508-5904
Phone (907) 729-8624

Other identifiers 1

IdentifierTypeStateIssuer
NP23951MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090330000384 TX Practitioner - Nurse Practitioner 7719044163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcentral FoundationGroup PAC ID 5496663627, 168 clinicians

Practice addresses (Care Compare)

101 Indian Creek Rd
Indian Creek Health
Tyonek, AK 99682-9999
Phone (907) 583-2461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.77 of 100Reported as group
Quality
76.11
Promoting interoperability
100
Improvement activities
40
Cost
79.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
734AKMDPhysical Therapist
ANP 734AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation CurrentSince Mar 21, 2012 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Dec 1, 2014 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4330 Elmore Rd
Anchorage, AK 99508
Phone (907) 729-6690

4501 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1000

Interoperability endpoints

  • Direct secure messaging: khealy@direct.scf.cc

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811990575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TUDOR CENTRE DR",
            "address_2": "SUITE #320",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085904",
            "telephone_number": "907-729-8624",
            "fax_number": "907-729-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TAKOTNA AVE.",
            "city": "MCGRATH",
            "state": "AK",
            "postal_code": "996279800",
            "telephone_number": "907-729-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "KATHLEEN",
        "middle_name": "LOUISE",
        "credential": "ANP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "734",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "ANP 734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP23951",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McGrath, AK

Sources for this page

Verify at the official NPI Registry.