Organization Active NPI

Upstream Family Medicine Inc

  • Family Medicine Physician
  • Soldotna, AK
National Provider Identifier
1063833937
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UPSTREAM FAMILY MEDICINE INC
Practice address
35743 Kenai Spur Hwy Ste a
Soldotna, AK 99669-7161
Phone
(907) 260-4468
Fax
(907) 260-4467
NPI assigned
Dec 19, 2013
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Dr. Kristen Marie Iagulli Lee, MDNPI 1982894861
Title
Owner
Phone
(907) 260-4468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

35743 Kenai Spur Hwy Ste a
Soldotna, AK 99669-7161

Mailing address

PO Box 22652
Belfast, ME 04915-4477
Phone (907) 260-4468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141027002633 AK Part B Supplier - Clinic/Group Practice 7911128434 Receives reassigned benefits from 5 practitioners
Practice locations: Soldotna, AK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2078215Upstream Family Medicine35743 Kenai Spur Hwy, Ste a, Soldotna, AK 99669Provider-performed microscopyMay 22, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17172/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1063833937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22652",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154477",
            "telephone_number": "907-260-4468",
            "fax_number": "907-260-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35743 KENAI SPUR HWY STE A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697161",
            "telephone_number": "907-260-4468",
            "fax_number": "907-260-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTREAM FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MARIE IAGULLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-260-4468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.