Monique Pednault

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

102482 Issued in AK

Legal business name

MONIQUE PEDNAULT

Practice address

3315 Fairbanks St
Anchorage, AK 99503-4145

Phone

(907) 277-2000

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Monique Pednault

Title

Sole Provider

Phone

(907) 444-1749

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1851744239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111116",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995111116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 FAIRBANKS ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034145",
            "telephone_number": "907-277-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIQUE PEDNAULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "PEDNAULT",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "SOLE PROVIDER",
        "authorized_official_telephone_number": "907-444-1749"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AK",
            "license": "102482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Anchorage, AK
• Exclusive Provider Organization in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.