Organization Active NPI

Wellspring Physician, P.C.

  • Family Medicine Physician
  • Juneau, AK
National Provider Identifier
1457898660
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLSPRING PHYSICIAN, P.C.
Practice address
8585 Old Dairy Rd Ste 208
Juneau, AK 99801-8094
Phone
(877) 872-0370
Fax
(855) 908-2520
NPI assigned
Jan 25, 2017
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Kathryn J Sowerwine, MDNPI 1477712867
Title
Cmo
Phone
(979) 221-1398

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

8585 Old Dairy Rd Ste 208
Juneau, AK 99801-8094

Mailing address

4359 Roans Chapel Rd
College Station, TX 77845-4096

Other practice location 1

4359 Roans Chapel Rd
College Station, TX 77845-4096
Phone (855) 673-2876

Other names 1

  • Wellspring Physician, P.C. (AK) Other name

National Provider Directory

National Provider Directory

Locations

309 N Washington Ave
Ste 13
Bryan, TX 77803
Phone (979) 431-5664

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": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1457898660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 ROANS CHAPEL RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 OLD DAIRY RD STE 208",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018094",
            "telephone_number": "877-872-0370",
            "fax_number": "855-908-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4359 Roans Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778454096",
            "country_code": "US",
            "telephone_number": "855-673-2876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPRING PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "SOWERWINE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "979-221-1398",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Physician, P.C. (AK)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.