MS. CYNTHIA ALLEN EBELACKER ANP NPI 1871697342

NPI Information

NPI: 1871697342
Provider Name: MS. CYNTHIA ALLEN EBELACKER, ANP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1407 W 31ST AVE
SUITE 201
ANCHORAGE, AK
ZIP 99503
Phone: (907) 646-9948
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MS. Cynthia Allen Ebelacker, ANP is a psychiatric/mental health nurse practitioner in Anchorage, AK. MS. Cynthia Allen Ebelacker, ANP NPI is 1871697342. 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:

1407 W 31ST AVE
SUITE 201
ANCHORAGE, AK
ZIP 99503-678
Phone: (907) 646-9948
Fax: (907) 646-9949

The NPI 1871697342 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 9/12/2006 and was last updated on 7/22/2009.

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		123065	MASSACHUSETTS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	435	ALASKA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	435	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	NP04351	MEDICAID	ALASKA
2	NP04357	MEDICAID	ALASKA

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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