INTEGRATED WELLNESS AND RECOVERY (NPI# 1376056952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376056952 |
| Entity Type | Organization |
| Organization Name | INTEGRATED WELLNESS AND RECOVERY |
| Practice Address |
3820 Lake Otis Pkwy Ste 112 Anchorage AK 99508 |
| Mailing Address |
25822 Berryhill Rd Eagle River AK 99577-9603 |
| Practice Telephone | 5057122662 |
| Practice Fax Number | 9078652433 |
| Mailing Telephone | 5057122662 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | JENNIFER MCDERMOTT (OWNER) |
| Authorized Official Telephone | 9072025577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3820 LAKE OTIS PKWY STE 112 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992843072 | Ginger D Scoggin | Nurse Practitioner | 3658 Arctic Blvd, Anchorage, AK 99503-1111 | 2007-02-02 |
| 1134210487 | Kathy L Chastain | Nurse Practitioner | 213 East Fireweed, Suite 2, Anchorage, AK 99503 | 2006-09-28 |
| 1457452963 | Judith Beach | Nurse Practitioner | 3380 C St, Suite 100, Anchorage, AK 99503-3920 | 2006-09-26 |
| 1003855271 | Mindy Lorin Schloss | Nurse Practitioner | 6852 Cutty Sark St, Anchorage, AK 99502-2807 | 2006-06-05 |
| 1689612269 | Lori Jean Zitzmann | Nurse Practitioner | 915 W Northern Lights Blvd, Anchorage, AK 99503-2408 | 2006-06-03 |
| 1639176225 | Louise Couts Kressly | Nurse Practitioner | 4251 Warwick Dr, Anchorage, AK 99508-5162 | 2005-06-28 |
| 1619972478 | Kymberli Raye Brock | Nurse Practitioner | 3841 Piper St, Suite T100, Anchorage, AK 99508-4624 | 2005-06-17 |
| 1518515030 | Glacier Bay Medical and Diabetes Care Center LLC | Nurse Practitioner | 615 E 82nd Ave Ste 302, Anchorage, AK 99518-3159 | 2019-08-28 |
| 1912416496 | Genna Fox | Nurse Practitioner | 910 Compassion Cir, Anchorage, AK 99504-1645 | 2017-09-27 |
| 1588113203 | Rebecca Libal | Nurse Practitioner | 2841 Debarr Rd, Suite 100, Anchorage, AK 99508-2958 | 2016-09-22 |
| Find all providers in ANCHORAGE | ||||
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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.