Fireweed Surgical Assists LLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

FIREWEED SURGICAL ASSISTS LLC

Practice address

2500 S Woodworth Loop
Palmer, AK 99645-8984

Phone

(508) 579-2174

NPI assigned

Oct 31, 2017

Organization subpart

No

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

Authorized official

Name

Sarah Wood Johanson, NP

Title

Acute Care Nurse Practitioner

Phone

(503) 507-4516

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1043722929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S COLONY WAY SUITE #3",
            "address_2": "PMB 153",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "508-579-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S WOODWORTH LOOP",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458984",
            "telephone_number": "508-579-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREWEED SURGICAL ASSISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "JOHANSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "WOOD",
        "authorized_official_title_or_position": "ACUTE CARE NURSE PRACTITIONER",
        "authorized_official_telephone_number": "503-507-4516",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ferguson, CNM
• Miranda Ann Ferris
• Jennifer Fife
• Stephanie Ann Figon, RD
• Fireweed Medical Solutions LLC
• Lynice Firey
• Caitlin Fleck-Noomen, OTD
• Abigail Florenski
• Flourish Therapy, LLC
• Marcella Adrienne Foisy

• Acute Care Nurse Practitioner in Palmer, AK
• Providers in Palmer, AK by specialty
• Acute Care Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.