LATOUCHE PEDIATRICS, LLC (NPI# 1780221127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780221127 |
| Entity Type | Organization |
| Organization Name | LATOUCHE PEDIATRICS, LLC |
| Practice Address |
3340 Providence Dr Ste 452 Anchorage AK 99508-4628 |
| Practice Telephone | 9075622120 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | ANGELLA TITUS (BUSINESS MANAGER) |
| Authorized Official Telephone | 9075622120 |
| Is Organization Subpart | Y |
| Parent Organization Name | LATOUCHE PEDIATRICS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
3340 PROVIDENCE DR STE 452 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548376775 | Christine Ersland | Nurse Practitioner | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2006-08-21 |
| 1497015838 | Cherie Wagahoft | Nurse Practitioner | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2012-05-18 |
| 1396072245 | Jennifer Ann Mckinnon | Nurse Practitioner | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2009-11-13 |
| 1639285877 | Marianne Vonhippel | Pediatrics | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729387 | Volunteers of America Alaska, Clark Ms | Clinic/Center | 150 Bragaw St, Anchorage, AK 99508-1307 | 2020-10-27 |
| 1255938239 | Anchorage Community Mental Health Services, Inc | Clinic/Center | 4045 Lake Otis Pkwy Ste 101, Anchorage, AK 99508-5227 | 2020-10-03 |
| 1518435734 | Hope Community Resources Inc | Clinic/Center | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2018-11-06 |
| 1538281514 | Alaska Children's Services, Inc. | Clinic/Center | 1709 Bragaw St, Anchorage, AK 99508-3436 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891224879 | Wild Goose Counseling LLC | Clinic/Center | 198 W Marydale Ave, Soldotna, AK 99669-7501 | 2017-06-05 |
| 1356555809 | Youth Advocates of Sitka, Inc | Clinic/Center | 408 Oja Way, Sitka, AK 99835-7622 | 2007-05-10 |
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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.