Northern Neurology, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NORTHERN NEUROLOGY, LLC

Practice address

3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242

Phone

(907) 416-6594

Fax

(800) 654-6250

NPI assigned

Jul 17, 2024

Last updated

Oct 9, 2026By 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

Natasha Ditomaso

Title

Practice Manager

Phone

(907) 416-6594

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 5

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.

• Cathleen E Marshall, MD

  • Neurodevelopmental Disabilities Physician
  • Wasilla, AK
  • NPI 1083957070
  Medicare reassignment Care Compare group NPD
• John J Wilcox, FNP

  • Nurse Practitioner
  • Wasilla, AK
  • NPI 1053190413
  Medicare reassignment Care Compare group NPD
• Alison Armour, NP

  • Family Nurse Practitioner
  • Wasilla, AK
  • NPI 1215390182
  Medicare reassignment Care Compare group
• John B Kelly, MD

  • Neurology Physician
  • Wasilla, AK
  • NPI 1407855315
  Medicare reassignment Care Compare group
• Ashley Carolyn Brouwer, MSN, WHNP-BC, ANP-BC

  • Adult Health Nurse Practitioner
  • Fairbanks, AK
  • NPI 1821256751
  Medicare reassignment

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1306684980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 E MERIDIAN PARK LOOP STE 100",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547242",
            "telephone_number": "907-416-6594",
            "fax_number": "800-654-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 E MERIDIAN PARK LOOP STE 100",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547242",
            "telephone_number": "907-416-6594",
            "fax_number": "800-654-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Kellum St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014189",
            "country_code": "US",
            "telephone_number": "907-416-6594",
            "fax_number": "800-654-6250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Old Seward Hwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995036068",
            "country_code": "US",
            "telephone_number": "907-416-6594",
            "fax_number": "800-654-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "DITOMASO",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "907-416-6594"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Edge Physical Therapy Limited Partnership
• Northern Edge Physical Therapy LLC (Northern Edge Physical Therapy)
• Northern Living Center LLC
• Northern Living Centers, LLC
• Northern Living Centers, LLC
• Northern Orthopedics Inc (Hanger Clinic)
• Northern Psychiatry, LLC
• Northstar Assisted Living, Inc. (Ruthies Assisted Living)
• Northstar Chiropractic
• Northward Business Systems, LLC

• Neurology Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Neurology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.