Active NPI
June M Thomasson, PA
- Physician Assistant
- Fairbanks, AK
National Provider Identifier
1952316630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 115
- Practice address
- 1606 23Rd Ave
Fairbanks, AK 99701-6407 - Phone
- (907) 455-4567
- Fax
- (907) 458-1581
- NPI assigned
- Jul 30, 2006
- Last updated
- Apr 1, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 115 | AK | Primary |
| Family Medicine Physician | 207Q00000X | 657 | AK |
Addresses
Primary practice location
1606 23Rd Ave
Fairbanks, AK 99701-6407
Mailing address
1606 23Rd Ave
Fairbanks, AK 99701-6407
Phone (907) 455-4567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K152816 | Other | AK | MEDICARE PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1952316630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 23RD AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997016407",
"telephone_number": "907-455-4567",
"fax_number": "907-458-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 23RD AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997016407",
"telephone_number": "907-455-4567",
"fax_number": "907-458-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASSON",
"first_name": "JUNE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "115",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "657",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "K152816",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.