FLT LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1025780 Issued in AK

Legal business name

FLT LLC

Practice address

250 Cushman St Ste 4F
Fairbanks, AK 99701-4665

Phone

(907) 457-1128

Fax

(907) 457-1124

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Randy Lewis, LCSW

Title

Managing Member

Phone

(907) 457-1128

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1306215587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80361",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997080361",
            "telephone_number": "907-457-1128",
            "fax_number": "907-457-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CUSHMAN ST STE 4F",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014665",
            "telephone_number": "907-457-1128",
            "fax_number": "907-457-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "907-457-1128",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "1025780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Fleming, MSW
• Teaudra Flenaugh
• Walter Edward Flitt
• David Russell Flory, MD
• Poppy Lea Floto
• Colleen Flynn, LPC
• John Walter Flynn
• Richard Foggia
• Michelle Foint, RN
• David Roy Fonger Jr.

• Clinical Social Worker in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.