Active NPI
Stellar Health and Wellness Aesthetics and Beauty, LLC
- Family Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1679231849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- STELLAR HEALTH AND WELLNESS AESTHETICS AND BEAUTY, LLC
- Practice address
- 4138 Brantley PL
Anchorage, AK 99508-5319 - Phone
- (907) 538-7144
- Fax
- (907) 339-3703
- NPI assigned
- Dec 3, 2021
- Last updated
- Dec 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maureen A Horner, ANP
- Title
- Owner/ Head Clinician
- Phone
- (907) 952-0770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4138 Brantley PL
Anchorage, AK 99508-5319
Mailing address
4138 Brantley PL
Anchorage, AK 99508-5319
Phone (907) 538-7144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 9073393703 | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Anchorage, AK
- NPI 1205923570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638489600000",
"number": "1679231849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4138 BRANTLEY PL",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085319",
"telephone_number": "907-538-7144",
"fax_number": "844-880-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4138 BRANTLEY PL",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085319",
"telephone_number": "907-538-7144",
"fax_number": "907-339-3703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLAR HEALTH AND WELLNESS AESTHETICS AND BEAUTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-03",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A",
"authorized_official_last_name": "HORNER",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/ HEAD CLINICIAN",
"authorized_official_telephone_number": "907-952-0770",
"authorized_official_credential": "ANP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "9073393703",
"affiliation": "N",
"endpointDescription": "FAX",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4138 Brantley Pl",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995085319",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 3, 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.