Greatland Women'S Healtcare, LLC

Primary specialty

Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X

License

879 Issued in AK

Legal business name

GREATLAND WOMEN'S HEALTCARE, LLC

Practice address

5805 E Columbus Way
Wasilla, AK 99654-7831

Phone

(907) 373-5400

Fax

(907) 373-5417

NPI assigned

Mar 8, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Von Ah, ANP

Title

Women'S Health Nurse Practitioner

Phone

(907) 373-5400

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1013378744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 E COLUMBUS WAY",
            "address_2": "PO BOX 876201",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547831",
            "telephone_number": "907-373-5400",
            "fax_number": "907-373-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 E COLUMBUS WAY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547831",
            "telephone_number": "907-373-5400",
            "fax_number": "907-373-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATLAND WOMEN'S HEALTCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "VON AH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "WOMEN'S HEALTH NURSE PRACTITIONER",
        "authorized_official_telephone_number": "907-373-5400",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "AK",
            "license": "879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Chie-May Gray
• Krista L Gray, PT
• Stephonel Gray
• Tessa Gray, MSW
• Frank Adam Greathouse, MD
• Kandi Green
• Michelle Lynn Green
• Talia Green
• Courtney Greenberg, PHARMD
• Greenspace Counseling

• Ambulatory Women's Health Care Registered Nurse in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Ambulatory Women's Health Care Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.