Organization Active NPI

Travel Medicine and Infectious Diseases of Alaska, LLC

  • Infectious Disease Physician
  • Anchorage, AK
National Provider Identifier
1720770928
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
TRAVEL MEDICINE AND INFECTIOUS DISEASES OF ALASKA, LLC
Practice address
3500 Latouche St Ste 200
Anchorage, AK 99508-4248
Phone
(907) 561-4362
Fax
(907) 563-4498
NPI assigned
May 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Rachael Harrison, MDNPI 1477915395
Title
Consultant/Owner
Phone
(775) 530-3680

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

3500 Latouche St Ste 200
Anchorage, AK 99508-4248

Mailing address

3500 Latouche St Ste 200
Anchorage, AK 99508-4248
Phone (907) 561-4362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240606004385 AK Part B Supplier - Clinic/Group Practice 5496297327 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

3500 Latouche St
Anchorage, AK 99508
Phone (907) 292-2567

Practitioners & affiliated clinicians

Practitioners 1

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": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1720770928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LATOUCHE ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084248",
            "telephone_number": "907-561-4362",
            "fax_number": "907-563-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LATOUCHE ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084248",
            "telephone_number": "907-561-4362",
            "fax_number": "907-563-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVEL MEDICINE AND INFECTIOUS DISEASES OF ALASKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "CONSULTANT/OWNER",
        "authorized_official_telephone_number": "775-530-3680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.