Mark Hull

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

909120 Issued in AK

Practice address

1465 N Meadow Lakes Loop
Wasilla, AK 99623

Phone

(907) 841-7686

Fax

(907) 373-5356

NPI assigned

Apr 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1497175418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872076",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996872076",
            "telephone_number": "907-841-7686",
            "fax_number": "907-373-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 N MEADOW LAKES LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99623",
            "telephone_number": "907-841-7686",
            "fax_number": "907-373-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "AK",
            "license": "909120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol L Huizar
• Ally Kae Hull
• Andrew Casey Hull
• Cora Hull
• Heather Hull, LPC
• Leslie Lynn Humphrey
• Christine Lucille Hundley
• Kylie Hundley
• Rachel Hundley
• Holy Lee Hunt

• Home Modifications Contractor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Home Modifications Contractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.