Ravenwood Healthcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1111 Issued in AK

Legal business name

RAVENWOOD HEALTHCARE LLC

Practice address

4200 Lake Otis Pkwy
202
Anchorage, AK 99508-5226

Phone

(907) 338-2273

Fax

(907) 338-2284

NPI assigned

Feb 28, 2013

Organization subpart

No

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

Authorized official

Name

Christy Slater

Title

Managing Member

Phone

(907) 338-2273

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1205176245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY",
            "address_2": "202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-338-2273",
            "fax_number": "907-338-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY",
            "address_2": "202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-338-2273",
            "fax_number": "907-338-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENWOOD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "907-338-2273"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michale Dyon Ratzlaff, MD
• Amanda Rauckhorst
• Richard Rauckhorst
• Gabby K Ravaiere
• Raven Care, Inc
• Colette P Ravinet, PT
• Christie Lynne Rawlings, RN
• Karen Suzanne Rawlins, ARNP
• Scott McNeal Rawls
• Jessica Elaine Ray, MD

• Family Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.