FULL SPECTRUM HEALTH, LLC (NPI# 1407360977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407360977 |
| Entity Type | Organization |
| Organization Name | FULL SPECTRUM HEALTH, LLC |
| Practice Address |
307 E Northern Lights Blvd Ste 201 Anchorage AK 99503-2701 |
| Practice Telephone | 9072299766 |
| Practice Fax Number | 8889740807 |
| Mailing Telephone | 9072299766 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | TRACEY WIESE (OWNER) |
| Authorized Official Telephone | 9077274239 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1022312 | 05 |
| Street Address |
307 E NORTHERN LIGHTS BLVD STE 201 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881822633 | Amy Marie White | Counselor | 307 E Northern Lights Blvd Ste 201, Anchorage, AK 99503-2701 | 2009-06-30 |
| 1356902910 | Paula A Bemis | Social Worker | 307 E Northern Lights Blvd Ste 201, Anchorage, AK 99503-2701 | 2019-06-25 |
| 1710547898 | Kathryn Rose | Counselor | 307 E Northern Lights Blvd Ste 201, Anchorage, AK 99503-2701 | 2019-06-19 |
| 1457776783 | Beatrice Simpson | Counselor | 307 E Northern Lights Blvd Ste 201, Anchorage, AK 99503 | 2014-02-24 |
| 1104104587 | Tracy Follett, Lcsw, LLC | Social Worker | 307 E Northern Lights Blvd Ste 201, Anchorage, AK 99503-2701 | 2011-08-02 |
| 1700179215 | Tracy Follett | Social Worker | 307 E Northern Lights Blvd Ste 201, Anchorage, AK 99503-2701 | 2011-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265690 | Whole Family Integrated Wellness LLC | Clinic/Center | 600 E 36th Ave Ste 300, Anchorage, AK 99503-4168 | 2020-08-11 |
| 1528600947 | Southcentral Foundation | Clinic/Center | 6901 E Tudor Rd Ste 8, Anchorage, AK 99507-1254 | 2019-10-17 |
| 1811420391 | Southcentral Foundation | Clinic/Center | 1021 E 3rd Ave, Anchorage, AK 99501-6102 | 2017-04-11 |
| 1689021776 | Southcentral Foundation | Clinic/Center | 755 A St, Anchorage, AK 99501-3625 | 2016-05-18 |
| 1154591451 | La Integrative Primary Care Centre Inc | Clinic/Center | 8811 Toloff St, Anchorage, AK 99507-3848 | 2008-03-03 |
| 1720603095 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2020-06-12 |
| 1124666730 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-12-13 |
| 1174027296 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2018-03-22 |
| 1194130823 | Peak Neurology and Sleep Medicine, LLC | Clinic/Center | 2741 Debarr Rd Ste C308, Anchorage, AK 99508 | 2014-06-20 |
| 1659581635 | Alaska Center for Pediatrics, LLC | Clinic/Center | 2925 Debarr Rd, Suite 230, Anchorage, AK 99508-2959 | 2007-05-22 |
| 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.