Individual provider Active NPI

Tina Tennille Hummingbird

  • Counselor
  • Anchorage, AK
National Provider Identifier
1891406302
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3600 San Jeronimo Dr
Anchorage, AK 99508-2870
Phone
(907) 793-3600
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X AK Primary

Addresses

Primary practice location

3600 San Jeronimo Dr
Anchorage, AK 99508-2870

Mailing address

3600 San Jeronimo Dr
Anchorage, AK 99508-2870
Phone (907) 793-3600

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html
CONNECT URL securercords.sanford.html

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Inlet Tribal Council, Inc CurrentSince Mar 20, 2025 Accepting new patients
Cook Inlet Tribal Council, Inc PastSince Dec 13, 2022 Accepting new patients

Locations

3600 San Jeronimo Dr
Anchorage, AK 99508
Phone (907) 793-3200

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/citci/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1891406302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SAN JERONIMO DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082870",
            "telephone_number": "907-793-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SAN JERONIMO DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082870",
            "telephone_number": "907-793-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMINGBIRD",
        "first_name": "TINA",
        "middle_name": "TENNILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "3600 San Jeronimo Dr",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995082870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securercords.sanford.html",
            "affiliation": "N",
            "address_1": "3600 San Jeronimo Dr",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995082870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 6, 2022; 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.