Organization Active NPI

Harbor Health, LLC

  • Family Nurse Practitioner
  • Juneau, AK
National Provider Identifier
1477012805
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HARBOR HEALTH, LLC
Practice address
2201 Dunn St Ste 1
Juneau, AK 99801-9480
Phone
(334) 796-6969
NPI assigned
Mar 15, 2019
Last updated
Mar 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Authorized official

Name
Brandon Marie Sale, APRNNPI 1881115723
Title
Owner/Aprn
Phone
(334) 796-6969

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
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

2201 Dunn St Ste 1
Juneau, AK 99801-9480

Mailing address

4256A Brothers Ave
Juneau, AK 99801-9197
Phone (334) 796-6969

Other identifiers 1

IdentifierTypeStateIssuer
1881115723OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190828002895 AK Part B Supplier - Clinic/Group Practice 1850629882 Receives reassigned benefits from 6 practitioners
Practice locations: Juneau, AK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2168489Harbor Health, LLC2201 Dunn St, Suite #1, Juneau, AK 99801Provider-performed microscopyJun 30, 2027

National Provider Directory

National Provider Directory

Locations

2201 Dunn St
Ste 1
Juneau, AK 99801
Phone (907) 523-8888

Practitioners & affiliated clinicians

Practitioners 6

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": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1477012805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4256A BROTHERS AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019197",
            "telephone_number": "334-796-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 DUNN ST STE 1",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019480",
            "telephone_number": "334-796-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "SALE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "334-796-6969",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881115723",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.