Active NPI
S Lynn Hornbein
- Primary Care Clinic/Center
- Anchorage, AK
National Provider Identifier
1992992457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 2515
- Legal business name
- S LYNN HORNBEIN
- Practice address
- 2741 Debarr Rd Ste C308
Anchorage, AK 99508-2972 - Phone
- (907) 272-3366
- NPI assigned
- Sep 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Lynn Hornbein, M.D.
- Title
- Owner
- Phone
- (907) 272-3366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 2515 | AK | Primary |
Addresses
Primary practice location
2741 Debarr Rd Ste C308
Anchorage, AK 99508-2972
Mailing address
440A W Evergreen Ave
Palmer, AK 99645-6955
Phone (907) 746-3366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2515 | Medicaid | AK |
Other names 1
- Summit Family Practice
National Provider Directory
National Provider Directory- Tax ID family
- S Lynn Hornbein
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Anchorage, AK
- NPI 1457747800
-
- Urgent Care Clinic/Center
- Palmer, AK
- NPI 1124264916
Locations
440 W Evergreen Ave
Ste A
Palmer, AK 99645
Phone (907) 746-3366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1992992457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440A W EVERGREEN AVE",
"city": "PALMER",
"state": "AK",
"postal_code": "996456955",
"telephone_number": "907-746-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 DEBARR RD STE C308",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082972",
"telephone_number": "907-272-3366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S LYNN HORNBEIN",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-28",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "HORNBEIN",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-272-3366",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "AK",
"license": "2515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD2515",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 1, 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.