Fireweed Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FIREWEED PEDIATRICS, LLC

Practice address

1875 University Ave S Ste 1
Fairbanks, AK 99709-4916

Phone

(907) 328-0875

Fax

(907) 328-0865

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By 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

Letha C Archer, MDNPI 1699774299

Title

Manager/Owner

Phone

(907) 328-0875

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

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.

• Letha C Archer, M.D

  • Pediatrics Physician
  • Fairbanks, AK
  • NPI 1699774299
  NPD Authorized official

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1386322444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 UNIVERSITY AVE S STE 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094916",
            "telephone_number": "907-328-0875",
            "fax_number": "907-328-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 UNIVERSITY AVE S STE 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094916",
            "telephone_number": "907-328-0875",
            "fax_number": "907-328-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREWEED PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-09",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "LETHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "907-328-0875",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Clayton Fine
• Ezekiel Jherod Finister
• Katelyn Finister
• Douglas John Finney, RN
• Fireweed & Cedar Wellness Collective LLC
• Teresa Jean Firor
• Lorna Fischer, MS, CCC-SLP
• Dianna Fisher, LMT
• Douglas K Fisher
• Stephen Lee Fisher, M.D.

• Pediatrics Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Pediatrics Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.