Active NPI
Fireweed Medical Solutions LLC
- Family Nurse Practitioner
- Palmer, AK
National Provider Identifier
1679282289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- FIREWEED MEDICAL SOLUTIONS LLC
- Practice address
- 1901 N Hemmer Rd Ste 2
Palmer, AK 99645-9690 - Phone
- (907) 795-6915
- NPI assigned
- Nov 22, 2022
- 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
- Amy M Deloach, NURSE PRACTITIONER
- Title
- Aprn
- Phone
- (907) 795-6915
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
1901 N Hemmer Rd Ste 2
Palmer, AK 99645-9690
Mailing address
305 N Oscar St
Palmer, AK 99645-6824
Phone (907) 795-6915
National Provider Directory
National Provider DirectoryLocations
1901 N Hemmer Rd
Ste 2
Palmer, AK 99645
Phone (907) 795-6915
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Davenport, FL
- NPI 1568922078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669075200000",
"number": "1679282289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N OSCAR ST",
"city": "PALMER",
"state": "AK",
"postal_code": "996456824",
"telephone_number": "907-795-6915",
"fax_number": "907-745-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N HEMMER RD STE 2",
"city": "PALMER",
"state": "AK",
"postal_code": "996459690",
"telephone_number": "907-795-6915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIREWEED MEDICAL SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A",
"authorized_official_last_name": "DELOACH",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "907-795-6915",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"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 Nov 22, 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.