Organization Active NPI

Impavid Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wasilla, AK
National Provider Identifier
1184213399
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
IMPAVID MENTAL HEALTH LLC
Doing business as
Impavid Mental Health, LLC
Practice address
5431 E Mayflower LN Ste 4
Wasilla, AK 99654-7891
Phone
(888) 382-1897
Fax
(888) 959-6529
NPI assigned
Jan 12, 2021
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Adriana Hernandez, PMHNP-BC, CNM, APRNNPI 1922553726
Title
Pmhnp
Phone
(888) 382-1897

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

5431 E Mayflower LN Ste 4
Wasilla, AK 99654-7891

Mailing address

PO Box 870777
Wasilla, AK 99687-0777
Phone (888) 382-1897

Other identifiers 2

IdentifierTypeStateIssuer
1652157MedicaidAK
1715939MedicaidAK

Other names 1

  • Impavid Mental Health, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hello@imh.sprucecare.com Direct

National Provider Directory

National Provider Directory

Locations

2405 S Knik Goose Bay Rd
Ste B
Wasilla, AK 99654

3035 E Palmer Wasilla Hwy
Ste 401
Wasilla, AK 99654
Phone (888) 382-1897

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1184213399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870777",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996870777",
            "telephone_number": "888-382-1897",
            "fax_number": "888-959-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 E MAYFLOWER LN STE 4",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547891",
            "telephone_number": "888-382-1897",
            "fax_number": "888-959-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPAVID MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "888-382-1897",
        "authorized_official_credential": "PMHNP-BC, CNM, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1652157",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715939",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@imh.sprucecare.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5431 E Mayflower Ln Ste 4",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Impavid Mental Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Impavid Mental Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 2026; 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.