Alaska Premier Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

131 Issued in AK

Legal business name

ALASKA PREMIER THERAPY

Practice address

204 E Rezanof Dr
Lower #2
Kodiak, AK 99615-6379

Phone

(907) 512-0979

NPI assigned

Aug 5, 2008

Last updated

Aug 5, 2008By 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

Christie Ann Chernoff, MA CCC-SLP

Title

Speech Language Pathologist

Phone

(907) 512-0979

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1083870448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996150226",
            "telephone_number": "907-512-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E REZANOF DR",
            "address_2": "LOWER #2",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156379",
            "telephone_number": "907-512-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA PREMIER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "CHERNOFF",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "907-512-0979",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP16642",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP16641",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benito Artillero Achas, CDC1
• Katherine Marie Adams Rogers
• Robert Daniel Aga
• Maria Romina Aguilar
• Alaska Native Tribal Health Consortium
• Alivia Integrative Women's Health & Midwifery LLC
• Siene Nicole Allen, LMT
• Diane Alonzo
• Heidi Alonzo
• Donene Amodo

• Speech-Language Pathologist in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.