NPIMap

Organization Active NPI

All Seasons Family Health Care

  • Primary Care Nurse Practitioner
  • Wasilla, AK
National Provider Identifier
1285833103
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0554 Issued in AK
Legal business name
ALL SEASONS FAMILY HEALTH CARE
Practice address
5461 E Mayflower LN
Suite 4
Wasilla, AK 99654-7817
Phone
(907) 376-4644
NPI assigned
Jul 11, 2007
Organization subpart
No

Practitioners 5

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

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Ellen L Lentz, N.P.NPI 1306949193
Title
Nurse Practioner
Phone
(907) 376-4644

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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 0554 AK Primary

Addresses

Primary practice location

5461 E Mayflower LN
Suite 4
Wasilla, AK 99654-7817

Mailing address

5461 E Mayflower LN
Suite 4
Wasilla, AK 99654-7817
Phone (907) 376-4644

Other identifiers 2

IdentifierTypeStateIssuer
NP05542MedicaidAK
NP05541MedicaidAK

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1285833103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 E MAYFLOWER LN",
            "address_2": "SUITE 4",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547817",
            "telephone_number": "907-376-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 E MAYFLOWER LN",
            "address_2": "SUITE 4",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547817",
            "telephone_number": "907-376-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SEASONS FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "907-376-4644",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AK",
            "license": "0554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP05542",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP05541",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 25, 2009; 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.