Active NPI
White Skye Summit LLC
- Family Medicine Physician
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2726
- Legal business name
- WHITE SKYE SUMMIT LLC
- Practice address
- 2851 E Palmer Wasilla Hwy Ste 3
Wasilla, AK 99654-7499 - Phone
- (907) 357-7944
- Fax
- (907) 357-7991
- NPI assigned
- Jul 16, 2007
- Organization subpart
- Yes
- Parent organization
- WHITE SKYE SUMMIT LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca SC White, MD
- Title
- Owner/Member
- Phone
- (907) 357-7944
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2726 | AK | Primary |
Addresses
Primary practice location
2851 E Palmer Wasilla Hwy Ste 3
Wasilla, AK 99654-7499
Mailing address
561 S Denali
Suite E
Palmer, AK 99645
Phone (907) 745-7944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2726 | Other | AK | STATE LICENSE |
Other names 2
- Arctic Skye Family Medicine
- Arctic Skye Family medicime
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D1073821 | Arctic Skye Family Medicine | Certificate of waiver | Sep 16, 2027 |
National Provider Directory
National Provider Directory- Part of
- White Skye Summit LLC
Locations
2851 E Palmer Wasilla Hwy
Wasilla, AK 99654
2851 E Palmer Wasilla Hwy
Ste 3
Wasilla, AK 99654
Phone (907) 357-7944
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Wasilla, AK
- NPI 1205843430
-
- Physician Assistant
- Wasilla, AK
- NPI 1255059820
-
- Physician Assistant
- Palmer, AK
- NPI 1922158864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717718400000",
"number": "1205035573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 S DENALI",
"address_2": "SUITE E",
"city": "PALMER",
"state": "AK",
"postal_code": "99645",
"telephone_number": "907-745-7944",
"fax_number": "907-745-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 E PALMER WASILLA HWY STE 3",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547499",
"telephone_number": "907-357-7944",
"fax_number": "907-357-7991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE SKYE SUMMIT LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHITE SKYE SUMMIT LLC",
"enumeration_date": "2007-07-16",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "SC",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "907-357-7944",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AK",
"license": "2726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2726",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arctic Skye Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Arctic Skye Family medicime",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Arctic Skye Family medicime",
"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 Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.