Active NPI
Jane Margaret Larouche, D.O.
- Psychiatry Physician
- Palmer, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 110455
- Practice address
- 2250 S Woodworth Loop Ste 202
Palmer, AK 99645-7457 - Phone
- (907) 761-5800
- Fax
- (907) 761-5801
- NPI assigned
- Dec 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 110455 | AK | Primary |
Addresses
Primary practice location
2250 S Woodworth Loop Ste 202
Palmer, AK 99645-7457
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1648401 | Medicaid | AK |
Other names 1
- Jane Margaret Morris
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlarouche666297@ak.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2250 S Woodworth Loop
Suite 202
Palmer, AK 99645-7457
Phone (907) 761-5800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Psychiatry | Current | Accepting new patients |
Locations
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
3760 Piper St
Ste 1108A
Anchorage, AK 99508
Phone (907) 212-6900
3760 Piper St
Ste 1108B
Anchorage, AK 99508
Phone (907) 212-6970
920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200
2250 S Woodworth Loop
Ste 202
Palmer, AK 99645
Phone (907) 761-5800
Interoperability endpoints
- jlarouche666297@ak.providencedirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Anchorage, AK
- NPI 1538254347
-
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
CO
-
- Community/Behavioral Health Agency
- Denver, CO
- NPI 1093220006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1861794547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084105",
"telephone_number": "866-907-1068",
"fax_number": "425-917-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 S WOODWORTH LOOP STE 202",
"city": "PALMER",
"state": "AK",
"postal_code": "996457457",
"telephone_number": "907-761-5800",
"fax_number": "907-761-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROUCHE",
"first_name": "JANE",
"middle_name": "MARGARET",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "110455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1648401",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlarouche666297@ak.providencedirect.org",
"affiliation": "N",
"address_1": "2250 S Woodworth Loop Ste 202",
"city": "Palmer",
"state": "AK",
"country_code": "US",
"postal_code": "996457457",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JANE",
"last_name": "MORRIS",
"middle_name": "MARGARET",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.