Alaska Social Work & Nursing Consortium,LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

35531 Issued in AK

Legal business name

ALASKA SOCIAL WORK & NURSING CONSORTIUM,LLC

Practice address

19715 War Admiral Rd
Eagle River, AK 99577-8473

Phone

(907) 726-1115

NPI assigned

Oct 3, 2014

Last updated

Nov 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Terri J Sullivan, RN-BCNPI 1114320116

Title

Owner

Phone

(907) 726-1115

Specialties & licenses 2

Addresses

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.

• Terri Jean Sullivan

  • Registered Nurse
  • Eagle River, AK
  • NPI 1114320116
  NPD (past) Authorized official

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1508269580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19715 WAR ADMIRAL RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778473",
            "telephone_number": "907-726-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19715 WAR ADMIRAL RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778473",
            "telephone_number": "907-726-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA SOCIAL WORK & NURSING CONSORTIUM,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-726-1115",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN-BC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "31",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "35531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alaska Psychology LLC
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• Alba Behavioral Health
• Rachel Carina Alexander, L.M.T.
• All 4 You Assisted Living
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• Registered Nurse in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Registered Nurse in Alaska

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