Fairbanks Family Wellness,LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

40 Issued in AK

Legal business name

FAIRBANKS FAMILY WELLNESS,LLC

Practice address

3550 Airport Way Ste 4
Fairbanks, AK 99709-4772

Phone

(907) 479-2306

NPI assigned

Jul 24, 2015

Organization subpart

No

Name

Sherry Jean Falconer

Title

Billing Supervisor

Phone

(907) 479-2331

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

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2015.

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1285019869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 AIRPORT WAY #4",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99709",
            "telephone_number": "907-479-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 AIRPORT WAY STE 4",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094772",
            "telephone_number": "907-479-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS FAMILY WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "FALCONER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "907-479-2331"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "596",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "152",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "AK",
            "license": "40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairbanks Counseling and Adoption
• Fairbanks Counseling Associates, LLC
• Fairbanks Dental Center LLC
• Fairbanks Dental Specialists, LLC
• Fairbanks Family Dental Care Inc
• Fairbanks Foot & Ankle Inc.
• Fairbanks Healing Space
• Fairbanks Integrated Community Services
• Fairbanks Medical Imaging LLC
• Fairbanks Memorial Cardiology Center

• All providers in Fairbanks, AK
• Naturopath in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.