Active NPI
Vivian Francine Patton, CDCII
- Community/Behavioral Health Agency
- Anchorage, AK
National Provider Identifier
1871746479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 401 E Northern Lights Blvd Ste 205
Anchorage, AK 99503-2814 - Phone
- (907) 770-7769
- Fax
- (907) 770-7634
- NPI assigned
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3411 | AK | |
| Community/Behavioral Health Agency | 251S00000X | AK | Primary |
Addresses
Primary practice location
401 E Northern Lights Blvd Ste 205
Anchorage, AK 99503-2814
Mailing address
401 E Northern Lights Blvd Ste 205
Anchorage, AK 99503-2814
Phone (907) 770-7769
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3411 | AK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1871746479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E NORTHERN LIGHTS BLVD STE 205",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032814",
"telephone_number": "907-770-7769",
"fax_number": "907-770-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E NORTHERN LIGHTS BLVD STE 205",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032814",
"telephone_number": "907-770-7769",
"fax_number": "907-770-7634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "VIVIAN",
"middle_name": "FRANCINE",
"name_prefix": "Ms.",
"credential": "CDCII",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AK",
"license": "3411",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AK",
"license": null,
"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 Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.