Provider Demographics
NPI:1992843072
Name:SCOGGIN, GINGER D (DNP, ANP-C)
Entity Type:Individual
Prefix:DR
First Name:GINGER
Middle Name:D
Last Name:SCOGGIN
Suffix:
Gender:F
Credentials:DNP, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 ARCTIC BLVD # 420
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-5774
Mailing Address - Country:US
Mailing Address - Phone:907-222-6970
Mailing Address - Fax:888-768-3890
Practice Address - Street 1:701 SESAME ST STE 101
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-6647
Practice Address - Country:US
Practice Address - Phone:907-222-6970
Practice Address - Fax:888-768-3890
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200250053363LG0600X
AK570363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1570754Medicaid
AK1023116Medicaid