Jeran Lee Marchbanks, BSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2735 E Tudor Rd
Anchorage, AK 99507-1135

Phone

(907) 562-7900

Fax

(907) 562-7901

NPI assigned

Oct 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1831424613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071135",
            "telephone_number": "907-562-7900",
            "fax_number": "907-562-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071135",
            "telephone_number": "907-562-7900",
            "fax_number": "907-562-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHBANKS",
        "first_name": "JERAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renzyl Cate Cayabyab Marcelo
• Andrew Michael Marchant
• Kent Alan Marchant, D.M.D.
• Kyle Marchant
• Nathan Marchant, MD
• Courtney Marchesani
• Dorothy Christina Siona Marchetti
• Thatiana Marchi Reisig
• Stacey Marchini
• Aide' Rodriguez Marcontell, HS1

• Social Worker in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.