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CARLA MICHELLE CARTAGENA DE JESUS M.D NPI 1518312453


NPI Information

NPI: 1518312453
Provider Name: CARLA MICHELLE CARTAGENA DE JESUS, M.D
Classification: Pediatrics - 208000000X
Entity Type: Individual
Organization: TANANA VALLEY CLINIC LLC

PECOS Registration: Yes

Address:
1001 NOBLE ST STE 1
FAIRBANKS, AK
ZIP 99701
Phone: (907) 459-3500
Get Directions

Carla Michelle Cartagena De Jesus, M.D is a pediatrics in Fairbanks, AK with 8 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Carla Michelle Cartagena De Jesus, M.D NPI is 1518312453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1001 NOBLE ST STE 1
FAIRBANKS, AK
ZIP 99701-991
Phone: (907) 459-3500

The NPI 1518312453 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 4/28/2016 and was last updated on 9/24/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsR75496ARIZONANo
2208000000XPediatrics143269ALASKAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11698143MEDICAIDALASKA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.