Active NPI
Ellen V Obrien, ANP
- Family Nurse Practitioner
- Seward, AK
National Provider Identifier
1952465726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 505
- Practice address
- 417-1St Ave
Seward, AK 99664-0365 - Phone
- (907) 224-5205
- NPI assigned
- Dec 19, 2006
- 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 | 505 | AK | Primary |
Addresses
Primary practice location
417-1St Ave
Seward, AK 99664-0365
Mailing address
PO Box 365
417-1St Ave
Seward, AK 99664-0365
Phone (907) 224-5205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL3490 | Medicaid | AK |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 505 | AK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1952465726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365",
"address_2": "417-1ST AVE",
"city": "SEWARD",
"state": "AK",
"postal_code": "996640365",
"telephone_number": "907-224-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417-1ST AVE",
"city": "SEWARD",
"state": "AK",
"postal_code": "996640365",
"telephone_number": "907-224-5205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "ELLEN",
"middle_name": "V",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CL3490",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seward, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.