Individual provider Active NPI

Demetria C. Caletena

  • Physical Disabilities Residential Treatment Facility
  • Anchorage, AK
National Provider Identifier
1851553044
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
100527 Issued in AK
Practice address
310 Ellen Cir
Anchorage, AK 99515-3388
Phone
(907) 868-1795
Fax
(907) 868-1795
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 100527 AK Primary

Addresses

Primary practice location

310 Ellen Cir
Anchorage, AK 99515-3388

Mailing address

2812 W 29TH Ave
Anchorage, AK 99517-1701
Phone (907) 868-1795

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

State licenses

LicenseStateTypeSpecialty
100527AKMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1851553044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 W 29TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171701",
            "telephone_number": "907-868-1795",
            "fax_number": "907-868-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ELLEN CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153388",
            "telephone_number": "907-868-1795",
            "fax_number": "907-868-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALETENA",
        "first_name": "DEMETRIA",
        "middle_name": "C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "AK",
            "license": "100527",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 27, 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.