North Wind Behavioral Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

761 Issued in AK

Legal business name

NORTH WIND BEHAVIORAL HEALTH

Practice address

1867 Airport Way
Suite 215
Fairbanks, AK 99701-4054

Phone

(907) 322-6893

NPI assigned

Jun 8, 2013

Organization subpart

No

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

Authorized official

Name

Carl Johnson, LPNNPI 1831383520

Title

Co-Owner/Manager

Phone

(907) 456-1434

Specialties & licenses 1

Addresses

Practitioners 2

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

• Carl Eugene Johnson, LPN

  • Licensed Practical Nurse
  • Fairbanks, AK
  • NPI 1831383520
  NPD (past) Authorized official
• Cathy Jean Johnson, RN, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairbanks, AK
  • NPI 1447219076
  NPD (past)

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1376981696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 215",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014062",
            "telephone_number": "907-456-1434",
            "fax_number": "907-456-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 215",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014054",
            "telephone_number": "907-322-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WIND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-08",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "907-456-1434",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.