NPIMap

Organization Active NPI

Acca, Inc

  • Speech-Language Pathologist
  • Fairbanks, AK
National Provider Identifier
1740532985
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
59 Issued in AK
Legal business name
ACCA, INC
Practice address
1020 Barnette St
Fairbanks, AK 99701-4502
Phone
(907) 456-4003
Fax
(907) 456-6124
NPI assigned
Oct 12, 2012
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Ms. Susan Kessler, E.D.
Title
Executive Director
Phone
(907) 456-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 59 AK Primary

Addresses

Primary practice location

1020 Barnette St
Fairbanks, AK 99701-4502

Mailing address

1020 Barnette St
Fairbanks, AK 99701-4502
Phone (907) 456-4003

Other identifiers 1

IdentifierTypeStateIssuer
GRO141MedicaidAK

Other names 1

  • Alaska Center for Children and Adults Other name

National Provider Directory

National Provider Directory

Locations

1020 Barnette St
Fairbanks, AK 99701
Phone (907) 456-4003

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1740532985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BARNETTE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014502",
            "telephone_number": "907-456-4003",
            "fax_number": "907-456-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BARNETTE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014502",
            "telephone_number": "907-456-4003",
            "fax_number": "907-456-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-456-4003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "E.D."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "59",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRO141",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Center for Children and Adults",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.