Active NPI
Julie Kane, NURSE PRACTITIONER
- Family Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1902317035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 126741
- Practice address
- 4361 Boniface Pkwy Ste 2
Anchorage, AK 99504-4314 - Phone
- (907) 802-6500
- Fax
- (907) 268-3830
- NPI assigned
- Oct 16, 2017
- Last updated
- Oct 2, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 126741 | AK | Primary |
Addresses
Primary practice location
4361 Boniface Pkwy Ste 2
Anchorage, AK 99504-4314
Mailing address
4361 Boniface Pkwy Ste 2
Anchorage, AK 99504-4314
Phone (907) 802-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1676731 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126741 | AK | MD | Family Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1902317035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4361 BONIFACE PKWY STE 2",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995044314",
"telephone_number": "907-802-6500",
"fax_number": "907-268-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4361 BONIFACE PKWY STE 2",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995044314",
"telephone_number": "907-802-6500",
"fax_number": "907-268-3830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "JULIE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-16",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "126741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1676731",
"state": "AK"
}
],
"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 Oct 2, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.