NPIMap

Organization Active NPI

The Children'S Place

  • Voluntary or Charitable Agency
  • Wasilla, AK
National Provider Identifier
1679704712
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
271872 Issued in AK
Legal business name
THE CHILDREN'S PLACE
Doing business as
The Children's Place
Practice address
1021 N Lucille St
Wasilla, AK 99654-6405
Phone
(907) 357-5157
Fax
(907) 357-5159
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Michelle Renee Bayless
Title
Executive Director
Phone
(907) 357-5157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 271872 AK Primary

Addresses

Primary practice location

1021 N Lucille St
Wasilla, AK 99654-6405

Mailing address

PO Box 871788
Wasilla, AK 99687
Phone (907) 357-5157

Other identifiers 1

IdentifierTypeStateIssuer
MD1999MedicaidAK

Other names 1

  • The Children's Place Doing business as

National Provider Directory

National Provider Directory

Locations

530 S Talkeetna St
Wasilla, AK 99654
Phone (907) 357-5157

1021 N Lucille St
Wasilla, AK 99654
Phone (907) 357-5157

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1679704712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871788",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99687",
            "telephone_number": "907-357-5157",
            "fax_number": "907-357-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N LUCILLE ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546405",
            "telephone_number": "907-357-5157",
            "fax_number": "907-357-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "BAYLESS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-357-5157"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AK",
            "license": "271872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1999",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Children's Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Children's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.