Active NPI
Frontier Family Medicine
- Clinic/Center
- Wasilla, AK
National Provider Identifier
1407195522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 966034
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.