Lakeview Family Practice, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LAKEVIEW FAMILY PRACTICE, LLC

Practice address

1901 N Hemmer Rd Ste 208
Palmer, AK 99645-9673

Phone

(907) 203-4677

Fax

(800) 516-0397

NPI assigned

Oct 19, 2022

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

Mrs. Kimberly Jo CrandallNPI 1275277238

Title

NP

Phone

(907) 203-4677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Kimberly Jo Crandall, FNP-BC

  • Family Nurse Practitioner
  • Palmer, AK
  • NPI 1275277238
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Gibson, FNP-BC, APRN

  • Family Medicine Physician
  • Palmer, AK
  • NPI 1649142001
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1356068480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N HEMMER RD STE 208",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459673",
            "telephone_number": "907-203-4677",
            "fax_number": "800-516-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N HEMMER RD STE 208",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459673",
            "telephone_number": "907-203-4677",
            "fax_number": "800-516-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "907-203-4677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan R Kristich
• Julia E Kruljac
• Stacie Marie Kruzinski, LCSW
• Patricia Kwok, RPH
• Ryan Laine
• Amy Lalor
• Renee Lamont, LCSW
• Timothy D Landon, PT
• Cynthia A. Lang
• Michelle Lapierre

• Primary Care Clinic/Center in Palmer, AK
• Providers in Palmer, AK by specialty
• Primary Care Clinic/Center 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.
• 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.