River Health & Wellness, LLC.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RIVER HEALTH & WELLNESS, LLC.

Practice address

35671 Kenai Spur Hwy
Soldotna, AK 99669-7627

Phone

(907) 260-1655

Fax

(855) 854-8577

NPI assigned

Sep 11, 2019

Last updated

Dec 15, 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

Tanecia WebsterNPI 1356821540

Title

Owner

Phone

(907) 260-1655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20415/brand/1/csg/1/fhir/r4

Practitioners 3

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.

• Tanecia Webster, NP

  • Nurse Practitioner
  • Soldotna, AK
  • NPI 1356821540
  Medicare reassignment Care Compare group NPD Authorized official
• Khaki Renee Hazzlerigg, FNP-C

  • Family Nurse Practitioner
  • Soldotna, AK
  • NPI 1043742471
  Medicare reassignment Care Compare group NPD
• Shane Udelhoven, PA-C

  • Medical Physician Assistant
  • Soldotna, AK
  • NPI 1124355359
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1083264022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35671 KENAI SPUR HWY",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697627",
            "telephone_number": "907-260-1655",
            "fax_number": "855-854-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35671 KENAI SPUR HWY",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697627",
            "telephone_number": "907-260-1655",
            "fax_number": "855-854-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HEALTH & WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "TANECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-260-1655"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Richards
• David Allen Richburg, DDS
• Jed Rigby, LCSW
• Tasha Marie Rine, RN BSN
• Kjell B Risung, P.T
• Riverquest Group Home, Inc.
• Dorothy Rivers
• Riverside Assisted Living Soldotna, Inc.
• Micah Aaron Robert, APRN
• Allison Grace Roberts

• Primary Care Clinic/Center in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Primary Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.