Liza Sarah Malamute, RN, CDE, CFCN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

17910 Issued in AK

Practice address

1408 19TH Avenue
Fairbanks, AK 99701-5903

Phone

(907) 451-6682

Fax

(907) 459-3976

NPI assigned

Aug 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Liza Sarah Vent Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1437465101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 19TH AVENUE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015903",
            "telephone_number": "907-451-6682",
            "fax_number": "907-459-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 19TH AVENUE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015903",
            "telephone_number": "907-451-6682",
            "fax_number": "907-459-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAMUTE",
        "first_name": "LIZA",
        "middle_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "RN, CDE, CFCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "17910",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AK",
            "license": "2221-0458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "VENT",
            "middle_name": "SARAH",
            "prefix": "MRS.",
            "credential": "RN, CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathen Majors
• Rene Majors
• Stephanie Majors
• Making a Difference Support Services
• Making a Difference Support Services, LLC
• Jedidiah Jonah Malan, MD
• Sara DB Malenfant, LMT
• Alejandrina Maria Mallet, RBT
• Kathryn Chatterton Mallory, LPS
• Christine M. Malone, RN, BSN, MSPH

• Registered Nurse in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.