Active NPI
Mindful Growth LLC
- Primary Care Clinic/Center
- Anchorage, AK
National Provider Identifier
1609592716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MINDFUL GROWTH LLC
- Practice address
- 4141 B St Ste 308
Anchorage, AK 99503-5942 - Phone
- (907) 229-0622
- NPI assigned
- Oct 19, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Susan Beesley, MD
- Title
- Owner
- Phone
- (907) 229-0622
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Anchorage, AK
- NPI 1427198381
National Provider Directory
National Provider DirectoryLocations
4141 B St
Ste 308
Anchorage, AK 99503
Phone (907) 229-0622
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4141 B St Ste 308
Anchorage, AK 99503-5942
Mailing address
4825 Queens CT
Anchorage, AK 99508-4812
Phone (907) 229-0622
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009668 | Medicaid | AK |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2022.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666137600000",
"number": "1609592716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 QUEENS CT",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084812",
"telephone_number": "907-229-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 B ST STE 308",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995035942",
"telephone_number": "907-229-0622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL GROWTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A",
"authorized_official_last_name": "BEESLEY",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-229-0622",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009668",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.