NPIMap

Organization Active NPI

Confidential Care, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wasilla, AK
National Provider Identifier
1134512304
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CONFIDENTIAL CARE, LLC
Practice address
2341 S. Fern St.
Suite 200
Wasilla, AK 99654-8589
Phone
(907) 357-1999
Fax
(907) 357-1990
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Mrs. Kristina L. Kruchowski, APRN-PMHNPNPI 1356378483
Title
Owner - Psychiatric Nurse Practitio
Phone
(907) 357-1999

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X AK
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X AK
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AK Primary

Addresses

Primary practice location

2341 S. Fern St.
Suite 200
Wasilla, AK 99654-8589

Mailing address

2341 S. Fern St.
Suite 200
Wasilla, AK 99654-8589
Phone (907) 357-1999

National Provider Directory

National Provider Directory

Locations

2341 S Fern St
Ste 200
Wasilla, AK 99654
Phone (907) 357-1999

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1134512304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 S. FERN ST.",
            "address_2": "SUITE 200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548589",
            "telephone_number": "907-357-1999",
            "fax_number": "907-357-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 S. FERN ST.",
            "address_2": "SUITE 200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548589",
            "telephone_number": "907-357-1999",
            "fax_number": "907-357-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "KRUCHOWSKI",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER - PSYCHIATRIC NURSE PRACTITIO",
        "authorized_official_telephone_number": "907-357-1999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-PMHNP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.