Trailhead Medical Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRAILHEAD MEDICAL CARE LLC

Practice address

729 Northway Dr
Anchorage, AK 99508-2030

Phone

(907) 644-3239

Fax

(907) 644-3983

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Tiffany Jeanette Ell, FNP-CNPI 1285224220

Title

Owner/Member

Phone

(303) 990-1432

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Jeanette Ell, FNP-C

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1285224220
  Medicare reassignment NPD Authorized official
• William Leroy Herold, M.D.

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1326187055
  NPD (past)
• Cortland Reger

  • Physical Therapist
  • Anchorage, AK
  • NPI 1285737361
  NPD (past)
• Brent Wade Wells

  • Chiropractor
  • Anchorage, AK
  • NPI 1295898930
  NPD (past)
• Terri Boylan, OTR

  • Occupational Therapist
  • Loveland, CO
  • NPI 1790018174
  NPD (past)
• Eric David Duarte, OT

  • Occupational Therapist
  • Puyallup, WA
  • NPI 1518291178
  NPD (past)
• Cameron Paul Kmet, DC

  • Chiropractor
  • Vancouver, WA
  • NPI 1366592792
  NPD (past)
• Shannan Francyne Ritter Von Trautmann, OTR

  • Occupational Therapist
  • Blaine, WA
  • NPI 1285793471
  NPD (past)

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1275307449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 NORTHWAY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082030",
            "telephone_number": "907-644-3239",
            "fax_number": "907-644-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 NORTHWAY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082030",
            "telephone_number": "907-644-3239",
            "fax_number": "907-644-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILHEAD MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "ELL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "303-990-1432",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Follett, LCSW, LLC
• Elizabeth Tracy, MED, MS
• Nicole Tracy
• Trailercraft, Inc.
• Trailercraft, Inc.
• Ailinh Tran, M.D.
• Denise Diep Thi Tran, NURSE PRACTITIONER
• Nhan T Tran, O.D.
• Nhi Tran, PT, DPT
• Phi T Tran, RN

• Family Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Medicine Physician in Alaska

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

Verify at the official NPI Registry.