ALASKA INNOVATIVE MEDICINE, INC. (NPI# 1780065227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780065227 |
| Entity Type | Organization |
| Organization Name | ALASKA INNOVATIVE MEDICINE, INC. |
| Practice Address |
4300 B St Ste 200 Anchorage AK 99503-5933 |
| Practice Telephone | 9072298777 |
| Mailing Telephone | 9072298777 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | KRISTI DAVIS (ADMINISTRATOR) |
| Authorized Official Telephone | 9072298777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | DTND156 | AK | Dietary & Nutritional Service Providers |
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
NURR13740 | AK | Nursing Service Providers |
| Street Address |
4300 B ST STE 200 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154312221 | Thomas William Lutz | Internal Medicine | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2005-10-28 |
| 1902342520 | Susan Lynn Davis | Nurse Practitioner | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2017-01-07 |
| 1649631193 | Brian Newman | Internal Medicine | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2016-03-11 |
| 1598151797 | David Abel | Family Medicine | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2015-04-14 |
| 1497140131 | Syed Mushfiqur Rahman | Hospitalist | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2015-03-31 |
| 1083009906 | Casey Mapes | Hospitalist | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2015-03-30 |
| 1780078758 | Emma Ann Coleman | Internal Medicine | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2015-03-26 |
| 1720493737 | Toby Currin | Family Medicine | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2014-06-27 |
| 1477968485 | David Penn | Family Medicine | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2014-06-27 |
| 1710306410 | Christopher James Beaudoin | Hospitalist | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2014-04-09 |
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| 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 | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447654371 | Stellina Essim | Registered Nurse | 3380 C St Ste 107, Anchorage, AK 99503-3949 | 2014-10-21 |
| 1780240515 | Carol Jane Rook | Registered Nurse | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-16 |
| 1285290395 | Robert Andrew Ellison | Registered Nurse | 4000 Laurel St, Anchorage, AK 99508-5333 | 2019-05-14 |
| 1205268463 | Mary Ann Batchelder | Registered Nurse | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2013-07-30 |
| 1396033411 | Teresa Anne Wahala | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2011-07-11 |
| 1548599467 | Roland B Cabiad | Registered Nurse | 2925 Debarr Rd, Anchorage, AK 99508-2983 | 2009-12-24 |
| 1992951537 | Koreen Renee Mateaki | Registered Nurse | 4341 B St, Ste 100, Anchorage, AK 99503-5927 | 2008-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1982249884 | Laura Suzanne Havens | Registered Nurse | 1076 Gaffney Rd Stop 7400, Ft Wainwright, AK 99703-5001 | 2019-11-14 |
| 1487891230 | Karen Jean Loverink | Registered Nurse | 3200 Hospital Dr, Juneau, AK 99801-7808 | 2009-01-15 |
| 1043430523 | Kimberly S Hunter-tigner | Registered Nurse | 202 Gjoa St., Petersburg, AK 99833-1769 | 2007-04-26 |
| 1114147758 | Cynthia Gail Austin | Registered Nurse | 7300 Klawock Hollis Hwy, Klawock, AK 99925 | 2007-04-26 |
| 1942281092 | Penelope Helen Ward | Registered Nurse | 1060 Gaffney Rd #7440, Bassett Army Community Hospital, Ft. Wainwright, AK 99703-7440 | 2005-11-07 |
| 1558991257 | Janice Fulton | Registered Nurse | 724 Postal Service Loop Stop 7499, Fort Richardson, AK 99505-7499 | 2020-01-22 |
| 1184269003 | Carrie Moore | Registered Nurse | 1060 Gaffney Rd Stop 7400, Fort Wainwright, AK 99703-5007 | 2019-11-14 |
| 1972148880 | Sha-lisa Mcknight | Registered Nurse | 1060 Gaffney Rd Stop 7400, Fort Wainwright, AK 99703-5007 | 2019-11-14 |
| 1477103612 | Angela Duke | Registered Nurse | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2019-09-19 |
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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.