Organization Active NPI

Valley Allergy and Asthma Clinic, LLC

  • Medical Specialty Clinic/Center
  • Palmer, AK
National Provider Identifier
1184028573
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
7841 Issued in AK
Legal business name
VALLEY ALLERGY AND ASTHMA CLINIC, LLC
Practice address
12113 E Maple Springs Way
Palmer, AK 99645-9648
Phone
(907) 745-4488
Fax
(907) 745-4487
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Dr. April Arseneau, MDNPI 1588845275
Title
Allergist/Owner
Phone
(518) 322-6070

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 7841 AK Primary

Addresses

Primary practice location

12113 E Maple Springs Way
Palmer, AK 99645-9648

Mailing address

425 E Dahlia Ave
Suite MB
Palmer, AK 99645-6463
Phone (518) 322-6070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150224001071 AK Part B Supplier - Clinic/Group Practice 2264758903 Receives reassigned benefits from 3 practitioners
Practice locations: Palmer, AK

National Provider Directory

National Provider Directory

Locations

425 E Dahlia Ave
Ste Mb
Palmer, AK 99645
Phone (907) 746-4412

Practitioners & affiliated clinicians

Practitioners 3

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": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1184028573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E DAHLIA AVE",
            "address_2": "SUITE MB",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456463",
            "telephone_number": "518-322-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12113 E MAPLE SPRINGS WAY",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459648",
            "telephone_number": "907-745-4488",
            "fax_number": "907-745-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ALLERGY AND ASTHMA CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "ARSENEAU",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "ALLERGIST/OWNER",
        "authorized_official_telephone_number": "518-322-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AK",
            "license": "7841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.