Bethesda Treatment and Recovery Center LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

BETHESDA TREATMENT AND RECOVERY CENTER LLC

Practice address

1100 E Northern Lights Blvd
Anchorage, AK 99508-4219

Phone

(907) 412-1128

NPI assigned

Apr 24, 2025

Last updated

Apr 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Freddy Rukema Kaniki, RPHNPI 1396953964

Title

Ceo

Phone

(907) 412-1128

Specialties & licenses 2

Addresses

Locations

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.

• Freddy Rukema Kaniki, RPH

  • Pharmacist
  • Kotzebue, AK
  • NPI 1396953964
  NPD Authorized official

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1205623931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084219",
            "telephone_number": "907-412-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084219",
            "telephone_number": "907-412-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA TREATMENT AND RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "KANIKI",
        "authorized_official_first_name": "FREDDY",
        "authorized_official_middle_name": "RUKEMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-412-1128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heather Lynn Betsayad, M.S. CCC-SLP
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• Methadone Clinic in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Methadone Clinic in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.