HEATHER BROCK, INC


Address: 851 E Westpoint Dr, Ste 208, Wasilla, AK 99654-7142
Phone: 9073735015

HEATHER BROCK, INC (NPI# 1538359310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538359310
Entity Type Organization
Organization Name HEATHER BROCK, INC
Practice Address 851 E Westpoint Dr
Ste 208
Wasilla
AK 99654-7142
Mailing Address 1830 E Parks Hwy Ste A113
Pmb242
Wasilla
AK 99654-7374
Practice Telephone 9073735015
Practice Fax Number 9073737015
Mailing Telephone 9073735015
Mailing Fax Number 9073737015
Enumeration Date 2007-07-27
Last Update Date 2007-07-27
Authorized Official Name MS. THERESA M RONCO (BILLING MANAGER)
Authorized Official Telephone 9076327577
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
751 AK Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK NP8919 05

Office Location

Street Address 851 E WESTPOINT DR
STE 208
City WASILLA
State AK
Zip Code 99654-7142

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821004383 Lisa L Harrison Family Medicine 851 E Westpoint Dr, Suite 310, Wasilla, AK 99654-7191 2006-08-01
1053963926 Daisy Vanslyke Counselor 851 E Westpoint Dr, Wasilla, AK 99654-7191 2019-07-11
1184074189 Arctic Pain Relief Center, LLC Clinic/Center 851 E Westpoint Dr, Suite B1, Wasilla, AK 99654-7191 2016-06-21
1003244211 Wild Iris LLC Family Medicine 851 E Westpoint Dr, Suite 207, Wasilla, AK 99654-7183 2013-10-25
1508124587 Eric A Nimmo Md Apc Family Medicine 851 E Westpoint Dr, Ste 302, Wasilla, AK 99654-7191 2012-04-27
1871724773 Christi Hill, Anp Family Psychiatry LLC Nurse Practitioner 851 E Westpoint Dr, Ste. 208, Wasilla, AK 99654-7191 2009-07-27
1487778304 Andrew Richard Jaconette Anesthesiology 851 E Westpoint Dr, Suite 203, Wasilla, AK 99654-7191 2007-03-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003426784 Colleen Maggie Newcity Case Manager/Care Coordinator 851 Westpoint Suite 310, Wasilla, AK 99654 2020-08-06
1659995884 Amy M Lowe Peer Specialist 1363 W Spuce Ave, Wasilla, AK 99654 2020-06-03
1922648690 Achieve Medical Alaska LLC Clinic/Center 1981 E Palmer, Suite 230, Wasilla, AK 99654 2020-01-10
1588205538 Juan Carlos Garcia Physician Assistant 950 East Bogard Road, Suite 103, Wasilla, AK 99654 2019-10-01
1427610864 Sharon Webb Counselor 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 2019-07-06
1306401864 Logan Lee Cook Peer Specialist 2953 E Fairview Loop, Wasilla, AK 99654 2019-05-09
1053883595 Moose Creek Medical Clinic LLC Nurse Practitioner 2341 S. Fern St., Suite 300, Wasilla, AK 99654 2018-12-21
1487124962 Melissa A Stevens Massage Therapist 2201 W That Rd, Wasilla, AK 99654 2018-11-28
1609359561 Audrey E Beers Midwife 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 2018-09-07
1093297418 Karlee Janine Mccorry Occupational Therapist 613 S Knik-goose Bay Rd, Wasilla, AK 99654 2018-09-01
Find all providers in zip 99654

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316597412 Jennifer Byers Anp LLC Nurse Practitioner 1689 S Knik Goose Bay Rd Ste 700, Wasilla, AK 99654-8088 2019-09-19
1245753656 Richard Crisostomo Nurse Practitioner 3505 E Meridian Park Loop Ste 200, Wasilla, AK 99654-7242 2017-07-18
1922553726 Adriana Maria Hernandez Nurse Practitioner 2405 S Knik Goose Bay Rd, Ste A, Wasilla, AK 99654-9965 2016-08-22
1437318383 Lynda Selk Nurse Practitioner 15089 W Big Lake Lodge Rd, Wasilla, AK 99623-4819 2008-06-05
1518514652 Erin Rockey, Anp LLC Nurse Practitioner 491 N Knik St, Wasilla, AK 99654-7049 2019-08-22
1871724773 Christi Hill, Anp Family Psychiatry LLC Nurse Practitioner 851 E Westpoint Dr, Ste. 208, Wasilla, AK 99654-7191 2009-07-27
1609949817 Jill Kristine Dowell Nurse Practitioner 1363 W Spruce Ave, Wasilla, AK 99654-5327 2006-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366062903 Eagle River Behavioral Health, LLC Nurse Practitioner 13125 Curry Ridge Cir, Eagle River, AK 99577-6730 2020-04-23
1760017123 Sara Rottman Nurse Practitioner 2210 Sentry Dr Apt 14, Anchorage, AK 99507-5353 2020-03-05
1104464460 David Ampong Nurse Practitioner 1577 C St Ste 204, Anchorage, AK 99501-5164 2019-12-18
1538720404 Deanna Mae Casiano Nurse Practitioner 14460 E Pace Dr, Palmer, AK 99645-9964 2019-06-21
1154897429 Kristerra Nicole Yawea Nurse Practitioner 2440 E Tudor Rd # 384, Anchorage, AK 99507-1185 2018-10-15
1982187399 Sara A Lindsoe Nurse Practitioner 8136 White Dr, Anchorage, AK 99507-6046 2018-09-11
1609326594 Virginia Walker Nurse Practitioner 3211 Providence Drive Rh Ste 116, University of Alaska Anchorage Student Health & Councel, Anchorage, AK 99508 2016-10-04
1649622457 Jenifer Swigart Nurse Practitioner 915 W. Northern Lights Blvd, Anchorage, AK 99503 2016-07-05
1124370523 Donna Jean Rollins Nurse Practitioner 4251 Bartlett St, Homer, AK 99603-7006 2012-10-09
1649591504 Karen E Sasnett Nurse Practitioner 4321 Gannett Cir, Anchorage, AK 99504-4203 2010-06-15
Find all providers with the same taxonomy

Competitor

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City WASILLA
Zip Code 99654

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Dataset Information

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.

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