NPIMap

Organization Active NPI

Lifeskills LLC

  • Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1386794527
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
STATEOF ALASKA#479 Issued in AK
Legal business name
LIFESKILLS LLC
Practice address
505 W Northern Lights Blvd Ste 102
Anchorage, AK 99503-2552
Phone
(907) 205-4366
Fax
(877) 409-9161
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Ms. Heidi Ellen Clifford, OTLNPI 1366587834
Title
Director/ Owner
Phone
(907) 350-3840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X STATEOF ALASKA#479 AK Primary

Addresses

Primary practice location

505 W Northern Lights Blvd Ste 102
Anchorage, AK 99503-2552

Mailing address

200 W 34TH Ave # 427
Anchorage, AK 99503-3969
Phone (907) 947-3820

Other identifiers 1

IdentifierTypeStateIssuer
0T8794MedicaidAK

National Provider Directory

National Provider Directory

Locations

505 W Northern Lights Blvd
Ste 102
Anchorage, AK 99503
Phone (907) 205-4366

5432 E Northern Lights Blvd
#427
Anchorage, AK 99508
Phone (218) 590-7800

6311 Debarr Rd
Ste J
Anchorage, AK 99504
Phone (907) 231-6268

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1386794527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 34TH AVE # 427",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033969",
            "telephone_number": "907-947-3820",
            "fax_number": "877-409-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W NORTHERN LIGHTS BLVD STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032552",
            "telephone_number": "907-205-4366",
            "fax_number": "877-409-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "907-350-3840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "STATEOF ALASKA#479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0T8794",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.