Organization Active NPI

Frontier Family Medicine

  • Clinic/Center
  • Wasilla, AK
National Provider Identifier
1407195522
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
966034 Issued in AK
Legal business name
FRONTIER FAMILY MEDICINE
Practice address
300 W Swanson Ave Ste 101
Wasilla, AK 99654-6844
Phone
(907) 373-3940
Fax
(907) 373-3948
NPI assigned
Feb 8, 2013
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Sandra Kay Spencer, ANP
Title
Owner Nurse Practitioner
Phone
(907) 373-3940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 966034 AK Primary

Addresses

Primary practice location

300 W Swanson Ave Ste 101
Wasilla, AK 99654-6844

Mailing address

300 W Swanson Ave Ste 101
Wasilla, AK 99654-6844
Phone (907) 373-3940

National Provider Directory

National Provider Directory

Locations

300 W Swanson Ave
Ste 101
Wasilla, AK 99654
Phone (907) 373-3940

545 N Knik St
Wasilla, AK 99654
Phone (907) 671-0160

645 N Jessica Brooke Cir
Ste E
Wasilla, AK 99654
Phone (907) 373-3940

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1407195522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SWANSON AVE STE 101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546844",
            "telephone_number": "907-373-3940",
            "fax_number": "907-373-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SWANSON AVE STE 101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546844",
            "telephone_number": "907-373-3940",
            "fax_number": "907-373-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER NURSE PRACTITIONER",
        "authorized_official_telephone_number": "907-373-3940",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "966034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.