Active NPI
William Kerst, PH.D.
- Clinical Neuropsychologist
- Palmer, AK
National Provider Identifier
1669754370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 112983
- Practice address
- 634 S Bailey St
Ste 106
Palmer, AK 99645-6360 - Phone
- (907) 631-2807
- NPI assigned
- Sep 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 112983 | AK | Primary |
| Clinical Neuropsychologist | 103G00000X | 1932 | AL |
Addresses
Primary practice location
634 S Bailey St
Ste 106
Palmer, AK 99645-6360
Mailing address
634 S Bailey St
Ste 106
Palmer, AK 99645-6360
Phone (907) 631-2807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1932 | AL | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1669754370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 S BAILEY ST",
"address_2": "STE 106",
"city": "PALMER",
"state": "AK",
"postal_code": "996456360",
"telephone_number": "907-631-2807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 S BAILEY ST",
"address_2": "STE 106",
"city": "PALMER",
"state": "AK",
"postal_code": "996456360",
"telephone_number": "907-631-2807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERST",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-20",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AK",
"license": "112983",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AL",
"license": "1932",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.