Laurie Elizabeth Fenderson, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

681462 Issued in TX

Practice address

Alaska Native Medical Center
4315 Diplomacy Drive
Anchorage, AK 99508

Phone

(907) 729-1070

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lfenderson@direct.scf.cc

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  dba BSD - McGrath

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McGrath, AK
  • NPI 1780614263

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  dba Tribal- Kokhanok Community Health Clinic

  • Community Health Clinic/Center
  • Kokhanok, AK
  • NPI 1043689169
  NPD
• Southcentral Foundation

  dba Tribal- Iguigig Community Health Clinic

  • Community Health Clinic/Center
  • Iguigig, AK
  • NPI 1144699216
  NPD
• Southcentral Foundation

  dba Tribal- Nondalton Clinic

  • Community Health Clinic/Center
  • Nondalton, AK
  • NPI 1740659192
  NPD
• Southcentral Foundation

  dba Tribal-Nilavena Regional Health Center

  • Multi-Specialty Clinic/Center
  • Iliamna, AK
  • NPI 1912954272
  NPD
• Southcentral Foundation

  dba Tribal- St. Paul Community Health Center

  • Multi-Specialty Clinic/Center
  • St. Paul, AK
  • NPI 1922405406
  NPD
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1093924458
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1962625921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 SKYHILLS DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995023993",
            "telephone_number": "512-800-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALASKA NATIVE MEDICAL CENTER",
            "address_2": "4315 DIPLOMACY DRIVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-729-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3209 Tarryhollow Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787031638",
            "country_code": "US",
            "telephone_number": "512-453-7436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENDERSON",
        "first_name": "LAURIE",
        "middle_name": "ELIZABETH",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "0050-00974",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "681462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287667401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Rene Felton, MS, CCC-SLP
• Heidi Nichole Felton, PA
• Nancy V. Felton, ANP
• Teresa Felton
• Tonya Lacole Fender, NNP
• Bette J Fenn, ANP
• Susan K. Fenn, DPM
• Bradford W Fenton, M.D.
• Nicole Michele Fenton
• Xenia Feola, LMT

• Pediatric Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pediatric Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.