Active NPI
Autumn Immingan, PSYD
- Psychologist
- Anchorage, AK
National Provider Identifier
1922741990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 3000 C St
Anchorage, AK 99503-3975 - Phone
- (907) 729-4955
- NPI assigned
- Apr 18, 2022
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
3000 C St
Anchorage, AK 99503-3975
Mailing address
3000 C St
Anchorage, AK 99503-3975
Other names 1
- Autumn Van Meter
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1922741990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 C ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 C ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033975",
"telephone_number": "907-729-4955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMMINGAN",
"first_name": "AUTUMN",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUTUMN",
"last_name": "VAN METER",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}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 Apr 18, 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.