Evelyn Irene Doucet

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

101 Spruce St
Fort Yukon, AK 99740

Phone

(907) 662-2460

NPI assigned

Jun 11, 2015

Last updated

May 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: evelyn.doucet.1@15989.direct.athenahealth.com

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.

• Tanana Chiefs Conference

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1821201278

  TX

  Medicare reassignment
• Kenaitze Indian Tribe

  dba Denaina Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Kenai, AK
  • NPI 1295972677
  NPD
• Kenaitze Indian Tribe

  dba Nakenu Family Center Mental Health Clinic

  • Community/Behavioral Health Agency
  • Kenai, AK
  • NPI 1699986687
  NPD
• Tanana Chiefs Conference

  • Ambulatory Surgical Clinic/Center
  • Fairbanks, AK
  • NPI 1871332387
  NPD

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1831570274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SPRUCE ST.",
            "city": "FORT YUKON",
            "state": "AK",
            "postal_code": "997405926",
            "telephone_number": "907-662-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SPRUCE ST",
            "city": "FORT YUKON",
            "state": "AK",
            "postal_code": "99740",
            "telephone_number": "907-662-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCET",
        "first_name": "EVELYN",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Council of Athabascan Tribal Governments
• Council of Athabascan Tribal Governments
• Council of Athabascan Tribal Governments
• Council of Athabascan Tribal Governments
• Council of Athabascan Tribal Governments
• Mary J Flora, RN
• Shannon Hardy, DHAT
• Debra Lee McCarty, CHP
• Diana Marie McCarty, CHA-LLL
• Franklin A. Oiler, DDS

• Physician Assistant in Fort Yukon, AK
• Providers in Fort Yukon, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.