Willowcreek Ak Transport Incorporated

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

WILLOWCREEK AK TRANSPORT INCORPORATED

Practice address

2060 Brigadier Dr
Anchorage, AK 99507-5376

Phone

(907) 351-0569

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Candis Bishop

Title

Managing Member

Phone

(907) 351-0569

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1033898077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19216 CITATION RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778416",
            "telephone_number": "907-351-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 BRIGADIER DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995075376",
            "telephone_number": "907-351-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWCREEK AK TRANSPORT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "CANDIS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "907-351-0569",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn L Willmon, DC
• Justeena MM Willmorth
• Willow Wellness LLC
• Willow, LLC (Willow Medical and Wellness)
• Willowcreek Adult Day Center Incorporated Dba Willowcreek Ak Transport
• Willowcreek Assisted Living Home
• Savannah Wilmarth, LMT
• Zaharah Wilshusen
• Tenaya Catherine Wilson-Charles, MD
• Grace Kathryn Wilson-Laudun, BSW

• Non-emergency Medical Transport (VAN) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Non-emergency Medical Transport (VAN) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.