Active NPI
Nisma Therapy Services LLC
- Speech-Language Pathologist
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- NISMA THERAPY SERVICES LLC
- Practice address
- 1231 Noble St
Fairbanks, AK 99701-4926 - Phone
- (907) 415-9331
- Fax
- (907) 600-5065
- NPI assigned
- Feb 12, 2024
- Last updated
- Feb 12, 2024
- 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
- Brianna Bates
- Title
- Owner
- Phone
- (907) 415-9331
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
1231 Noble St
Fairbanks, AK 99701-4926
Mailing address
PO Box 72481
Fairbanks, AK 99707-2481
Phone (907) 415-9331
Other practice location 1
3568 Geraghty Ave
Fairbanks, AK 99709-4701
Phone (907) 415-9331
National Provider Directory
National Provider Directory- Tax ID family
- Nisma Therapy Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Fairbanks, AK
- NPI 1316678097
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Speech-Language Pathologist
- Fairbanks, AK
- NPI 1518335983
-
- Speech-Language Pathologist
- Fairbanks, AK
- NPI 1265904932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1477317279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72481",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997072481",
"telephone_number": "907-415-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 NOBLE ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014926",
"telephone_number": "907-415-9331",
"fax_number": "907-600-5065"
}
],
"practiceLocations": [
{
"address_1": "3568 Geraghty Ave",
"address_purpose": "LOCATION",
"city": "Fairbanks",
"state": "AK",
"postal_code": "997094701",
"country_code": "US",
"telephone_number": "907-415-9331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NISMA THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2022-06-11",
"status": "A",
"authorized_official_last_name": "BATES",
"authorized_official_first_name": "BRIANNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-415-9331"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.