Matthew James Lafrentz

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1810 Julie Anna Dr
Kenai, AK 99611-6652

Phone

(907) 513-1019

NPI assigned

Jul 3, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Peninsula General Hospital Inc

  • Rural Acute Care Hospital
  • Soldotna, AK
  • NPI 1295059921
  NPD (past)
• Central Peninsula General Hospital, Inc

  • Community/Behavioral Health Agency
  • Soldotna, AK
  • NPI 1073043717
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1518529015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BEAVER LOOP RD APT 3",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118395",
            "telephone_number": "907-513-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 JULIE ANNA DR",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116652",
            "telephone_number": "907-513-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFRENTZ",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlafrentz1053084@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "address_1": "245 N Binkley St Ste 202",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Andrew Kronlage, RDN, LDN
• Jena L Kruzick
• Sadie Kruzick
• Sarah Ashley Kurka, PA-C
• Robert D Lacitinola
• Cassandra Delacy Landreth-Lloyd
• Kelli S Landrum, FNP-C
• Tanya Lange
• Spring E Larrow, CT
• Jason Mark Larsen, O.D.

• Peer Specialist in Kenai, AK
• Providers in Kenai, AK by specialty
• Peer Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.