Healthcare Provider Details
I. General information
NPI: 1902292121
Provider Name (Legal Business Name): GABRIELLE KARPINSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/14/2015
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3200 PROVIDENCE DR
ANCHORAGE AK
99508-4615
US
IV. Provider business mailing address
PO BOX 35145 LOCK BOX 1084
SEATTLE WA
98124-5145
US
V. Phone/Fax
- Phone: 907-562-2211
- Fax:
- Phone: 866-776-8150
- Fax: 314-621-7276
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 177658 |
| License Number State | AK |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0203X |
| Taxonomy | Pediatric Critical Care Medicine Physician |
| License Number | 177658 |
| License Number State | AK |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: