Provider Demographics
NPI:1447684790
Name:JAMES, ELAINE CAROL
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:CAROL
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:CAROL
Other - Last Name:LEPPALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:5432 E NORTHERN LIGHTS BLVD # 427
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4713
Mailing Address - Country:US
Mailing Address - Phone:218-590-7800
Mailing Address - Fax:
Practice Address - Street 1:5432 E NORTHERN LIGHTS BLVD # 427
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4713
Practice Address - Country:US
Practice Address - Phone:218-590-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2616224Z00000X
MN201780224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant