VICTORIA MANN RN
Complete NPI Record 1396077897
Registered Nurse in Klawock, AK
NPI Status: Active since February 08, 2010
Contact Information
13004 KLAWOCK HOLLIS HIGHWAY
KLAWOCK, AK
ZIP 99925
Phone: (907) 755-4800
Fax: (907) 755-4806
- NPI
- Entity Type Code
- Provider Last Name Legal Name
- Provider First Name
- Provider Credential Text
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider Business Mailing Address Fax Number
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Business Practice Location Address Fax Number
- Provider Enumeration Date
- Last Update Date
- Provider Gender Code
- Healthcare Provider Taxonomy Code 1
- Provider License Number 1
- Provider License Number State Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Is Sole Proprietor
Complete NPI Dataset
This page represents the complete record for NPI 1396077897. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1396077897
- Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
- Entity Type Code: 1
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: MANN
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: VICTORIA
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider Credential Text: RN
- The middle name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: PO BOX 69
- The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Business Mailing Address City Name: KLAWOCK
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Business Mailing Address State Name: AK
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Business Mailing Address Postal Code: 999250069
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address Country Code If outside U S : US
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Business Mailing Address Telephone Number: 9077554800
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider Business Mailing Address Fax Number: 9077554806
- The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
- Provider First Line Business Practice Location Address: 13004 KLAWOCK HOLLIS HIGHWAY
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
- Provider Business Practice Location Address City Name: KLAWOCK
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
- Provider Business Practice Location Address State Name: AK
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address Postal Code: 999250069
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address Country Code If outside U S : US
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9077554800
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Fax Number: 9077554806
- The country code in the location address of the provider being identified.
- Provider Enumeration Date: 2/8/2010
- The telephone number associated with the location address of the provider being identified.
- Last Update Date: 2/8/2010
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F
- The date the provider was assigned a unique identifier (assigned an NPI).
- Healthcare Provider Taxonomy Code 1: 163W00000X
- The date that a record was last updated or changed.
- Provider License Number 1: 23298
- The code designating the provider’s gender if the provider is a person.
- Provider License Number State Code 1: AK
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Is Sole Proprietor: N
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.