Active NPI
Suzette Marie Spencer, ND
- Naturopath
- Fairbanks, AK
National Provider Identifier
1003190646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 83
- Practice address
- 3550 Airport Way Ste 4
Fairbanks, AK 99709-4772 - Phone
- (907) 479-2331
- Fax
- (866) 834-0164
- NPI assigned
- Sep 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 83 | AK | Primary |
Addresses
Primary practice location
3550 Airport Way Ste 4
Fairbanks, AK 99709-4772
Mailing address
3550 Airport Way Ste 4
Fairbanks, AK 99709-4772
Phone (907) 479-2331
Other names 1
- Suzette Marie Mailloux
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83 | AK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluebell Wellness | Current | Accepting new patients | |
| Alaska Urological Institute PC | Past | Accepting new patients | |
| White Spruce Medical Inc | Naturopath | Past | Accepting new patients |
Locations
3550 Airport Way
Ste 4
Fairbanks, AK 99709
Phone (907) 479-2331
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Fairbanks, AK
- NPI 1366272742
-
- Urology Physician
- Anchorage, AK
- NPI 1689716185
-
- Naturopath
- Fairbanks, AK
- NPI 1215983259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1003190646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 AIRPORT WAY STE 4",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094772",
"telephone_number": "907-479-2331",
"fax_number": "877-619-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 AIRPORT WAY STE 4",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094772",
"telephone_number": "907-479-2331",
"fax_number": "866-834-0164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "SUZETTE",
"middle_name": "MARIE",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AK",
"license": "83",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZETTE",
"last_name": "MAILLOUX",
"middle_name": "MARIE",
"credential": "ND",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.