TABATHA SCHELLENGER PMHNP NPI 1104324177

NPI Information

NPI: 1104324177
Provider Name: TABATHA SCHELLENGER, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: PROVIDENCE HEALTH AND SERVICES WASHINGTON

PECOS Registration: Yes

Address:
3200 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 212-7994
Get Directions

Tabatha Schellenger, PMHNP is a psychiatric/mental health nurse practitioner in Anchorage, AK with 7 years of experience. Tabatha Schellenger, PMHNP NPI is 1104324177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508-615
Phone: (907) 212-7994

The NPI 1104324177 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/25/2018 and was last updated on 1/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		NURR29743	ALASKA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	128108	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	128108	OTHER	ALASKA	ADVANCED NURSE PRACTITIONER LICENSE
2	NURR29743	OTHER	ALASKA	REGISTERED NURSE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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