ANCHORAGE SLEEP CENTER, LLC DBA KODIAK SLEEP CENTER (NPI# 1154739878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154739878 |
| Entity Type | Organization |
| Organization Name | ANCHORAGE SLEEP CENTER, LLC DBA KODIAK SLEEP CENTER |
| Practice Address |
104 Center Ave Suite 102 Kodiak AK 99615-6393 |
| Mailing Address |
510 W Tudor Rd Suite 5 Anchorage AK 99503-6649 |
| Practice Telephone | 9075122060 |
| Practice Fax Number | 9075122070 |
| Mailing Telephone | 9077430050 |
| Mailing Fax Number | 9077430060 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |
| Authorized Official Name | MR. CAMERON DEAN GARDNER (MANAGING MEMBER) |
| Authorized Official Telephone | 9078879520 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANCHORAGE SLEEP CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
1008468 | AK | Ambulatory Health Care Facilities |
| Street Address |
104 CENTER AVE SUITE 102 |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-6393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518025733 | Sandra Collins-jackson | Counselor | 104 Center Ave, Suite 201a, Kodiak, AK 99615-6393 | 2006-12-04 |
| 1740510270 | Nyia Asia Charest | Social Worker | 104 Center Ave, Suite 204, Kodiak, AK 99615-6393 | 2010-01-06 |
| 1639312010 | Tina Clumpner | Speech-Language Pathologist | 104 Center Ave, Suite 200, Kodiak, AK 99615-6393 | 2009-04-14 |
| 1831343102 | Kevin Creelman, Md, PC | Family Medicine | 104 Center Ave, Ste 100, Kodiak, AK 99615-6393 | 2008-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255828745 | Global Sleep Solutions, LLC | Clinic/Center | 560 Spruceview Ave, Homer, AK 99603-7453 | 2018-04-19 |
| 1851659924 | Odyssey Sleep Works, Inc | Clinic/Center | 1120 Huffman Rd # 698, Anchorage, AK 99515-3516 | 2012-04-26 |
| 1578833265 | Anchorage Sleep Center, LLC Dba Fairbanks Sleep Center | Clinic/Center | 3405 Airport Way, Fairbanks, AK 99709-4761 | 2012-01-11 |
| 1346575180 | Sleep Centers of Alaska, LLC | Clinic/Center | 206 W Rockwell Ave Ste 101b, Soldotna, AK 99669 | 2009-10-13 |
| 1003932096 | Sleep Labs of Alaska, Inc. | Clinic/Center | 2221 E Northern Lights Blvd, Suite 108, Anchorage, AK 99508-4103 | 2007-03-21 |
| 1376606962 | Alyeska International, Inc. | Clinic/Center | 1901 Airport Way, Ste 101, Fairbanks, AK 99701 | 2006-12-18 |
| 1801808050 | Sleep Clinics of America LLC | Clinic/Center | 2421 East Tudor Road, Suite 102, Anchorage, AK 99507-1128 | 2006-08-13 |
| 1255705240 | Sleep Centers of Alaska LLC | Clinic/Center | 3202 International St, Suite 200, Fairbanks, AK 99701-7392 | 2015-11-14 |
| 1447622485 | Anchorage Sleep Center, LLC | Clinic/Center | 8800 Glacier Hwy, Suite 215, Juneau, AK 99801-8079 | 2015-10-29 |
| 1639444599 | Sleep Centers of Alaska LLC | Clinic/Center | 351 W Parks Hwy, Suite 100, Wasilla, AK 99654-6920 | 2012-03-12 |
| Find all providers with the same taxonomy | ||||
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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.