Jacia Imhotep
Day Training/Habilitation Specialist in Anchorage, AK. Individual provider (NPI-1).
NPI number1023907904
StatusActive
Last updated in NPPESJul 2, 2025
Details
- NPI
- 1023907904
- Entity type
- Individual (NPI-1)
- Name
- Jacia Imhotep
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2025
- Certification date
- Jul 2, 2025
- Last updated
- Jul 2, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | AK | Yes |
Practice location
1550 E 74th AveAnchorage, AK 99507-2614
Phone 907-929-5826
Mailing address
1550 E 74th AveAnchorage, AK 99507-2614
Phone 907-929-5826
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 813 Day Training/Habilitation Specialist providers in Anchorage · All 15,067 providers in Anchorage
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