Ideal Family Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

IDEAL FAMILY MEDICINE

Practice address

440 W Evergreen Ave
Suite a
Palmer, AK 99645-6984

Phone

(907) 746-3366

NPI assigned

Nov 8, 2016

Last updated

Dec 19, 2016By 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

Mrs. Babee Angelynne Mitchell, PA-C

Title

Physician Assistant

Phone

(907) 746-3366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1316489354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W EVERGREEN AVE",
            "address_2": "SUITE A",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456984",
            "telephone_number": "907-746-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W EVERGREEN AVE",
            "address_2": "SUITE A",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456984",
            "telephone_number": "907-746-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "BABEE ANGELYNNE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "907-746-3366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D Hunt, DC
• Camile Hurst
• Hutchings Dental, LLC (Pioneer Peak Dental Center)
• Brian David Hutchings, DDS
• Daizy Ann Hutton
• Lisa P Illg, P.T.
• Aeli Imgrund
• Individuals First Care Coordination
• Jessica F Ingham
• Lane Tyler Inman, RN

• Clinic/Center in Palmer, AK
• Providers in Palmer, AK by specialty
• Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.