Individual provider Active NPI

Wendy Degraffenried, RN, HN-BC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Anchorage, AK
National Provider Identifier
1053950428
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
25807 Issued in AK
Practice address
401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168
Phone
(907) 770-3656
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 25807 AK
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 25807 AK
Continuing Education/Staff Development Registered Nurse 163WC1600X 25807 AK
Diabetes Educator Registered Nurse 163WD0400X 25807 AK
Ambulatory Women's Health Care Registered Nurse 163WW0101X 25807 AK
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 25807 AK Primary

Addresses

Primary practice location

401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168

Mailing address

401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168
Phone (907) 770-3656

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
25807AKMDAmbulatory Women's Health Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Path of the Heart, Inc. CurrentSince Jan 12, 2020 Accepting new patients
Wisdom Traditions Counseling Services, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1053950428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W INTERNATIONAL AIRPORT RD STE 17",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181168",
            "telephone_number": "907-770-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W INTERNATIONAL AIRPORT RD STE 17",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181168",
            "telephone_number": "907-770-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAFFENRIED",
        "first_name": "WENDY",
        "credential": "RN, HN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "25807",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "25807",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "AK",
            "license": "25807",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AK",
            "license": "25807",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "AK",
            "license": "25807",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AK",
            "license": "25807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.