Alaska Functional Medicine Clinic Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ALASKA FUNCTIONAL MEDICINE CLINIC INC

Practice address

9138 Arlon St
Suite A2
Anchorage, AK 99507-3876

Phone

(907) 375-9395

Fax

(907) 375-9396

NPI assigned

Apr 28, 2017

Organization subpart

No

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

Authorized official

Name

Chris Bennett, FNPNPI 1457345498

Title

Owner

Phone

(907) 375-9395

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10250/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris Anne Bennett, APRN

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1457345498
  NPD (past) Authorized official
• Natalie Graham, NP

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1245051127

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1649705583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9138 ARLON ST",
            "address_2": "SUITE A2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073876",
            "telephone_number": "907-375-9395",
            "fax_number": "907-375-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9138 ARLON ST",
            "address_2": "SUITE A2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073876",
            "telephone_number": "907-375-9395",
            "fax_number": "907-375-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA FUNCTIONAL MEDICINE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-375-9395",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alaska Family Women'S H.O.P. Housing Service, Inc
• Alaska First Assist'S LLC
• Alaska Hand Rehabilitation, Inc.
• Alaska Hand Surgery Associates, LLC
• Alaska Healing Arts Chiropractic
• Alaska Health Care Clinic, Inc.
• Alaska Health Center

• Family Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.