Ptarmigan Psychiatry, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PTARMIGAN PSYCHIATRY, LLC

Practice address

851 E Westpoint Dr Ste 302
Wasilla, AK 99654-7183

Phone

(907) 373-5015

Fax

(907) 373-7015

NPI assigned

Apr 27, 2024

Last updated

Apr 27, 2024By 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

Heather Brock, ARNPNPI 1992712442

Title

Partner

Phone

(907) 373-5015

Specialties & licenses 1

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.

• Heather Ellison Brock, ANP

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1992712442

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1508612771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E WESTPOINT DR STE 302",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547183",
            "telephone_number": "907-373-5015",
            "fax_number": "907-373-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E WESTPOINT DR STE 302",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547183",
            "telephone_number": "907-373-5015",
            "fax_number": "907-373-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTARMIGAN PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "907-373-5015",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Denise Pross, RN
• Provision Ministries
• Psychiatric & Counseling Services
• Ptarmigan Connections, LLC
• Ptarmigan Pediatrics LLC
• Brittney Punt
• Cheryl Vanessa Puryear, MSCP
• Chandler John Putnam
• Roberta Pyrah
• Kathlene Kryn Qualls

• Psychiatric/Mental Health Nurse Practitioner in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.