Jessica Lynn Arasmith, MD
Individual provider Active NPI Pediatrics Physician · Anchorage, AK
NPI 1821296799 · NPPES record last updated Feb 12, 2016
Key facts
- NPI
- 1821296799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 7016 (AK)
- Practice address
- 3200 Providence Dr
Anchorage, AK 99508-4615 - Phone
- (907) 952-1057
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101208000757 | AK | Practitioner - Pediatric Medicine | 3678760253 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5718 | AK | MD | Pediatrics Physician |
| 7016 | AK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Specialists of Alaska LLC | Pediatrics | Current |
Accepting new patients |
| Providence Health & Services Washington | Past | Accepting new patients |
Locations
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5718 | AK | |
| Pediatrics Physician | 208000000X | A104797 | CA | |
| Pediatrics Physician | 208000000X | 7016 | AK | Yes |
Addresses
Primary practice location
3200 Providence Dr
Anchorage, AK 99508-4615
Mailing address
10400 Elies Dr
Anchorage, AK 99507-6233
Phone (907) 952-1057
Other providers in Anchorage, AK
- Priscilla Anna Apone
- Ann L. Applebee
- Claire Applebee
- Lauren Apulu
- Noryln L Aquino
- Jacqueline Danielle Arcand
- Anamaria Arce
- Erika Arcentales Espinosa
- Pamela Ann Archer-Beck
- Arctic Anesthesia, LLC
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 Feb 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.