Organization Active NPI

Northbridge LLC

  • Community/Behavioral Health Agency
  • Anchorage, AK
National Provider Identifier
1194113209
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTHBRIDGE LLC
Practice address
1835 Bragaw St
Suite #190
Anchorage, AK 99508-3469
Phone
(907) 770-0495
NPI assigned
Dec 26, 2014
Last updated
Dec 26, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Authorized official

Name
Michelle ZiemerNPI 1215374392
Title
Executive Director
Phone
(907) 770-0495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1835 Bragaw St
Suite #190
Anchorage, AK 99508-3469

Mailing address

PO Box 231430
Anchorage, AK 99523-1430

National Provider Directory

National Provider Directory
Tax ID family
Northbridge LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1835 Bragaw St
Ste 190
Anchorage, AK 99508
Phone (907) 770-0495

Practitioners & affiliated clinicians

Practitioners 2

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": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1194113209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231430",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995231430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 BRAGAW ST",
            "address_2": "SUITE #190",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083469",
            "telephone_number": "907-770-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBRIDGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTCARE",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "ZIEMER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-770-0495"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.