Shelana Renee Malone

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

101452 Issued in AK

Practice address

4151 S Meadow Dr
Wasilla, AK 99623-0465

Phone

(907) 602-0371

NPI assigned

Jul 7, 2021

Last updated

Sep 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• New Family Assisted Living

  • Assisted Living Facility (Mental Illness)
  • Wasilla, AK
  • NPI 1497425318

  Assisted Living, Mental Illness

  NPD Authorized official
• Nfal LLC

  • Assisted Living Facility (Mental Illness)
  • Wasilla, AK
  • NPI 1568219236

  Assisted Living, Mental Illness

  NPD Authorized official

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1619548948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879040",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996878900",
            "telephone_number": "907-602-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 S MEADOW DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230465",
            "telephone_number": "907-602-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "SHELANA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AK",
            "license": "101452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M Maixner, DMD
• Janelle Kay Makela
• Valerie Marie Malatesta, BCBA, M.S.
• Veronica Maldonado, LCSW
• Lonneka Shanel Mallard
• Debby L Maloney, FNP-BC
• Jordan Manelick
• Ryan Duane Mangum, D.C.
• Mann Family Dental, LLC (Mann Family Dental)
• Leonard Leroy Mann

• Assisted Living Facility (Mental Illness) in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Assisted Living Facility (Mental Illness) in Alaska

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