Individual provider Active NPI

Janet Whatley, ANP

  • Family Nurse Practitioner
  • Fairbanks, AK
National Provider Identifier
1912187170
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
509 Issued in AK
Practice address
1867 Airport Way
Ste 130B
Fairbanks, AK 99701-4056
Phone
(907) 452-2178
Fax
(907) 452-3524
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R61132 NM
Family Nurse Practitioner 363LF0000X 509 AK Primary

Addresses

Primary practice location

1867 Airport Way
Ste 130B
Fairbanks, AK 99701-4056

Mailing address

1867 Airport Way
Ste 130-B
Fairbanks, AK 99701-4056
Phone (907) 452-2178

Other identifiers 3

IdentifierTypeStateIssuer
NP0509MedicaidAK
NM006G46OtherNMBCBS
98506781MedicaidNM

Other names 1

  • Janet Brindley Steele Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180105000210 TX Practitioner - Nurse Practitioner 6103995998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R61132NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tanana Chiefs Conference CurrentSince Nov 8, 2017 Accepting new patients
Tanana Chiefs Conference CurrentSince Nov 8, 2017 Accepting new patients
U.S. Healthworks Medical Group of Alaska, LLC Past Accepting new patients
Pecos Valley of New Mexico, LLC Past Accepting new patients

Locations

1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682

Organizations & group practices 4

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1912187170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "STE 130-B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014056",
            "telephone_number": "907-452-2178",
            "fax_number": "907-452-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "STE 130B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014056",
            "telephone_number": "907-452-2178",
            "fax_number": "907-452-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "JANET",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R61132",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0509",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM006G46",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98506781",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "BRINDLEY STEELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.