Joshua Aaron Witham

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

2102687 Issued in AK

Practice address

2248 Country Brook Cir
Anchorage, AK 99502-4639

Phone

(907) 830-5332

NPI assigned

Nov 25, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Superior Community Care LLC

  • Developmentally Disabled Services Day Training Agency
  • Anchorage, AK
  • NPI 1063002301

  Day Training, Developmentally Disabled Services

  NPD

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1023612470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 COUNTRY BROOK CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024639",
            "telephone_number": "907-830-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 COUNTRY BROOK CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024639",
            "telephone_number": "907-830-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHAM",
        "first_name": "JOSHUA",
        "middle_name": "AARON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AK",
            "license": "2102687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Wise, PT
• Anna Marie Wiseman
• Shirley Wiser
• Nicolle Kahl Wisniewski, MPAS, PA-C
• Autumn Marie Wissner, CF-SLP
• Tyler Witham
• Lesia Witkowsky, PMHNP
• Michelle Witt
• Ryan Witten
• Tammy Wittenberg

• Developmentally Disabled Services Day Training Agency in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Developmentally Disabled Services Day Training Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.