LIFE SPROUT CHIROPRACTIC LLC (NPI# 1124469341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124469341 |
| Entity Type | Organization |
| Organization Name | LIFE SPROUT CHIROPRACTIC LLC |
| Practice Address |
912 Barnette St Fairbanks AK 99701-4510 |
| Mailing Address |
505 Illinois St Ste 4 Fairbanks AK 99701-2946 |
| Practice Telephone | 9074517000 |
| Practice Fax Number | 9078917297 |
| Mailing Telephone | 9074517000 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | DR. ALEXANDRA F SWENSON (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 9074517000 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 568 | AK | Chiropractic Providers |
| Street Address |
912 BARNETTE ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811971948 | Fairbanks Counseling and Adoption | Voluntary or Charitable | 912 Barnette St, Fairbanks, AK 99701-4510 | 2005-12-01 |
| 1811455850 | Elemental Balance LLC | Acupuncturist | 912 Barnette St, Fairbanks, AK 99701-4510 | 2019-03-08 |
| 1114284320 | Alexandra Freund Swenson | Chiropractor | 912 Barnette St, Fairbanks, AK 99701-4510 | 2012-04-13 |
| 1689959298 | Paulette Marie Davis | Counselor | 912 Barnette St, Fairbanks, AK 99701-4510 | 2011-10-14 |
| 1215246699 | Carina Hope Dick | Counselor | 912 Barnette St, Fairbanks, AK 99701-4510 | 2010-10-01 |
| 1962717397 | Allison Carr | Acupuncturist | 912 Barnette St, Fairbanks, AK 99701 | 2010-08-10 |
| 1922326826 | Jennifer Lee Cross | Counselor | 912 Barnette St, Fairbanks, AK 99701-4510 | 2010-05-17 |
| 1144485921 | Samantha Gale Mcmorrow | Counselor | 912 Barnette St, Fairbanks, AK 99701-4510 | 2008-07-22 |
| 1295926772 | Leonard Lee Church | Counselor | 912 Barnette St, Fairbanks, AK 99701-4510 | 2007-08-08 |
| 1881624559 | Betty Ann Simpson | Social Worker | 912 Barnette St, Fairbanks, AK 99701-4510 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053318 | Aimee Burgess Dc LLC | Chiropractor | 3875 Geist Rd Ste E136, Fairbanks, AK 99709-3564 | 2020-04-29 |
| 1295148229 | Summit Chiropractic LLC | Chiropractor | 753 Gaffney Rd, Fairbanks, AK 99701-4609 | 2014-06-06 |
| 1831527274 | Lesley Suzanne Taylor | Chiropractor | 3514 International St, Fairbanks, AK 99701-7382 | 2013-10-22 |
| 1578849741 | Joshua Andrew Costello | Chiropractor | 1231 Noble St, Fairbanks, Fairbanks, AK 99701-4926 | 2011-11-01 |
| 1780962639 | A&e, Inc. | Chiropractor | 201 Old Steese Hwy, Ste 4, Fairbanks, AK 99701-3123 | 2011-07-26 |
| 1093043796 | A & E, Inc. | Chiropractor | 820 Smythe St, Fairbanks, AK 99701-4415 | 2009-11-18 |
| 1356584577 | William Andrew Tewson | Chiropractor | 29 College Rd Ste 8b1, Fairbanks, AK 99701-1739 | 2009-04-17 |
| 1598942807 | Ridgeview Chiropractic PC | Chiropractor | 570 Riverstone Way Ste 2, Fairbanks, AK 99709-2940 | 2008-01-29 |
| 1558548230 | Jessica Tomcykoski | Chiropractor | 932 6th Ave, Fairbanks, AK 99701-4329 | 2008-01-24 |
| 1104035633 | Richard Elson | Chiropractor | 308 5th Ave, Fairbanks, AK 99701-5026 | 2007-05-22 |
| Find all providers in FAIRBANKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.