Organization Active NPI

Nourishing Direction Inc

  • Plastic and Reconstructive Surgery Physician
  • Anchorage, AK
National Provider Identifier
1386966364
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
5635 Issued in AK
Legal business name
NOURISHING DIRECTION INC
Practice address
1029 W 3Rd Ave
Suite 510
Anchorage, AK 99501-1981
Phone
(888) 597-1115
Fax
(888) 510-7888
NPI assigned
Feb 18, 2010
Last updated
Feb 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Jana K Cole, M.D.NPI 1891741393
Title
President
Phone
(888) 597-1115

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
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 5635 AK Primary

Addresses

Primary practice location

1029 W 3Rd Ave
Suite 510
Anchorage, AK 99501-1981

Mailing address

1250 S Glendale Ave
Suite B PMB 102
Glendale, CA 91205-5642
Phone (888) 597-1115

National Provider Directory

National Provider Directory

Locations

1029 W 3rd Ave
Ste 510
Anchorage, AK 99501
Phone (888) 597-1115

1250 S Glendale Ave
Ste B
Glendale, CA 91205

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1386966364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S GLENDALE AVE",
            "address_2": "SUITE B PMB 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055642",
            "telephone_number": "888-597-1115",
            "fax_number": "888-510-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 W 3RD AVE",
            "address_2": "SUITE 510",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995011981",
            "telephone_number": "888-597-1115",
            "fax_number": "888-510-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING DIRECTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-597-1115",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AK",
            "license": "5635",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 18, 2010; 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.