KJT, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KJT, LLC

Practice address

1314 Shuros Dr
Fairbanks, AK 99709-6740

Phone

(307) 267-6150

Fax

(833) 986-3605

NPI assigned

Jul 30, 2025

Organization subpart

No

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

Authorized official

Name

Kati Jo Tuma, MMS, PA-CNPI 1306268628

Title

Owner

Phone

(307) 267-6150

Specialties & licenses 6

Addresses

Other names 1

• Black Mountain Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kati Jo Tuma, MMS, PA-C

  • Medical Physician Assistant
  • Fairbanks, AK
  • NPI 1306268628
  NPD Authorized official

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1114800562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 GRANITE PEAK DR APT 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094522",
            "telephone_number": "307-267-6150",
            "fax_number": "833-986-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 SHUROS DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997096740",
            "telephone_number": "307-267-6150",
            "fax_number": "833-986-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "TUMA",
        "authorized_official_first_name": "KATI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-267-6150",
        "authorized_official_credential": "MMS, PA-C"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Mountain Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Roy Kirchner Jr., MA, LPC, NCC
• Kimberly Maria Kirkup, NP
• Shannon Kirleis, RN
• Arlene Gay Kirschner, M.D. APC
• Kathleen Kitelinger
• Abigail J Klager, MD
• Mackenzie E Klimstra, RN
• Monica Renee Knight
• Nina Knight
• Shelah Chzah Knix

• Multi-Specialty Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Multi-Specialty Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.