Khalilah Zarinah Seid, CLINICAL NURSE SPECI

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

127330 Issued in AK

Practice address

3200 Providence Dr
Anchorage, AK 99508-4615

Phone

(907) 212-8616

NPI assigned

Dec 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1992574552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 VIEW CIR APT 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071533",
            "telephone_number": "907-302-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PROVIDENCE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084615",
            "telephone_number": "907-212-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEID",
        "first_name": "KHALILAH",
        "middle_name": "ZARINAH",
        "name_prefix": "Ms.",
        "credential": "CLINICAL NURSE SPECI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "AK",
            "license": "127330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Seethaler, L.P.T.
• Menime Sega
• Olivia Leigh Sega
• Kathy S Segal
• Daniel Seible
• Yoftahie M Seid, MD
• Elizabeth Seidl, PT, DPT
• Emily L Seidl, RT(R), PA-C
• Nada Seidl
• Jennifer Seifert-Byrne, LMT

• Gerontology Clinical Nurse Specialist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Gerontology Clinical Nurse Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.