EMPOWER MEDICAL AND WELLNESS (NPI# 1679139596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679139596 |
Entity Type | Organization |
Organization Name | EMPOWER MEDICAL AND WELLNESS |
Practice Address |
1150 S Colony Way Ste 1 Palmer AK 99645-6967 |
Practice Telephone | 9073154042 |
Practice Fax Number | 9073752951 |
Mailing Telephone | 9077958456 |
Mailing Fax Number | 9073752951 |
Enumeration Date | 2019-05-16 |
Last Update Date | 2019-06-14 |
Authorized Official Name | TYFANAE BRINKE (FAMILY NURSE PRACTITIONER) |
Authorized Official Telephone | 9073154042 |
Authorized Official Credential | ANP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | 1652161 | 05 |
Street Address |
1150 S COLONY WAY STE 1 |
City | PALMER |
State | AK |
Zip Code | 99645-6967 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
Find all providers in zip 99645 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467874933 | Now Health, LLC | Clinic/Center | 625 Cobb Street, Suite 201, Palmer, AK 99645 | 2014-01-17 |
1336437961 | Family Life Matters, LLC | Clinic/Center | 16720 E Maud Rd, Palmer, AK 99645 | 2011-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295361228 | Akins Mobile Health & Clinical Consultants, LLC | Clinic/Center | 2942 Gladys Marie Cir, Anchorage, AK 99516-1407 | 2020-03-22 |
1477029767 | Pacific Pediatrics, LLC | Clinic/Center | 3137 Tongass Ave # C, Ketchikan, AK 99901-5745 | 2018-10-15 |
1457865271 | Vera Whole Health Inc | Clinic/Center | 1450 Muldoon Rd, Anchorage, AK 99504-2820 | 2017-12-01 |
1902352206 | Lacuna Family Medicine, Inc. | Clinic/Center | 204 4th Ave, Seward, AK 99664 | 2016-08-28 |
1619333788 | Earthsong Integrative Medicine and Midwifery, LLC | Clinic/Center | 223 Gold St Uppr Unit, Juneau, AK 99801-1210 | 2016-01-05 |
1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
1780079749 | John D. Zipperer Jr Md, LLC | Clinic/Center | 2110 E. Northern Lights Blvd., Suite 102, Anchorage, AK 99508 | 2015-04-06 |
1972894418 | Kim Thiele, Do, PC | Clinic/Center | 105 Trading Bay Dr, Suite 105, Kenai, AK 99611-7717 | 2011-05-02 |
1609173798 | M. Jane Moore, Md. LLC. | Clinic/Center | 3260 Providence Dr Ste 526, Anchorage, AK 99508-4608 | 2011-02-25 |
1821304379 | Manuka Health Clinic, LLC | Clinic/Center | 3685 Arctic Blvd, Anchorage, AK 99503-5704 | 2010-08-23 |
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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.