GLACIER BAY MEDICAL AND DIABETES CARE CENTER LLC (NPI# 1518515030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518515030 |
| Entity Type | Organization |
| Organization Name | GLACIER BAY MEDICAL AND DIABETES CARE CENTER LLC |
| Practice Address |
615 E 82nd Ave Ste 302 Anchorage AK 99518-3159 |
| Practice Telephone | 9072904566 |
| Mailing Telephone | 9072904566 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | MRS. MARISA BUNE (MANAGING MEMBER) |
| Authorized Official Telephone | 9072904566 |
| Authorized Official Credential | MSN, APRN, NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
615 E 82ND AVE STE 302 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99518-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275099632 | Marisa C Bune | Nurse Practitioner | 615 E 82nd Ave Ste 302, Anchorage, AK 99518-3159 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871952648 | Daniel & Max, LLC | Optometrist | 8300 Homer Drive, Anchorage, AK 99518 | 2016-02-22 |
| 1093133266 | Bidney Turner | Registered Nurse | 8130 Old Sweard Highway, Suite #103, Anchorage, AK 99518 | 2014-04-03 |
| 1407271265 | Diane Clare Espinosa | Speech-Language Pathologist | 708 Blackburn Ct., Anchorage, AK 99518 | 2014-03-03 |
| 1366865859 | Infinite Care of Alaska LLC | Home Health | 165 East 56th Ave., Suite #3, Anchorage, AK 99518 | 2014-02-04 |
| 1669712477 | Medical Services | Durable Medical Equipment & Medical Supplies | 5401 North Star St, Anchorage, AK 99518 | 2013-02-15 |
| 1346503364 | Eric Mellor Larsen | Social Worker | 5308 Northstar St, Anchorage, AK 99518 | 2012-06-25 |
| 1245443662 | Wisdom Traditions Wellness, LLC | Acupuncturist | 615 E 82nd Avenue Suite B-5, Suite #17, Anchorage, AK 99518 | 2007-05-08 |
| 1902929813 | Stannealh Inc. 2 | Residential Treatment Facility, Physical Disabilities | 7452 Nathan Dr., Anchorage, AK 99518 | 2007-04-06 |
| 1679641500 | Annett Marie Pipkin | Specialist | 5401 Northstar, #a, Anchorage, AK 99518 | 2006-11-30 |
| 1922172022 | Mark E Silverman | Dentist | 7926 Old Seward Hwy, Ste B7, Anchorage, AK 99518 | 2006-11-20 |
| Find all providers in zip 99518 | ||||
| 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 |
| 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 |
| 1376961011 | Robert D Warren | Nurse Practitioner | 550 W 7th Ave, Suite 1800, Anchorage, AK 99501-3571 | 2014-03-31 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on GLACIER BAY MEDICAL AND DIABETES CARE CENTER LLC.
| 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.