Organization Active NPI

Full Moon Fertility and Reproduction LLC

  • Women's Health Clinical Nurse Specialist
  • Anchorage, AK
National Provider Identifier
1740918812
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X
Legal business name
FULL MOON FERTILITY AND REPRODUCTION LLC
Practice address
405 E Fireweed LN Ste 201C
Anchorage, AK 99503-2145
Phone
(907) 223-9202
Fax
(949) 561-5192
NPI assigned
Aug 8, 2022
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Rhianne Christopherson, APRNNPI 1689026189
Title
Owner
Phone
(907) 223-9202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Clinical Nurse Specialist 364SW0102X NU Primary

Addresses

Primary practice location

405 E Fireweed LN Ste 201C
Anchorage, AK 99503-2145

Mailing address

405 E Fireweed LN Ste 201
Anchorage, AK 99503-2145
Phone (907) 223-9202

Other practice location 1

4200 Lake Otis Pkwy Ste 103
Anchorage, AK 99508-5226
Phone (907) 223-9202

National Provider Directory

National Provider Directory

Locations

308 G St
Ste 213
Anchorage, AK 99501
Phone (907) 223-9202

405 E Fireweed Ln
Ste 201
Anchorage, AK 99503
Phone (907) 223-9202

405 E Fireweed Ln
Ste 201C
Anchorage, AK 99503
Phone (907) 223-9202

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1740918812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E FIREWEED LN STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032145",
            "telephone_number": "907-223-9202",
            "fax_number": "949-561-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E FIREWEED LN STE 201C",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032145",
            "telephone_number": "907-223-9202",
            "fax_number": "949-561-5192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Lake Otis Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085226",
            "country_code": "US",
            "telephone_number": "907-223-9202",
            "fax_number": "949-561-5192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULL MOON FERTILITY AND REPRODUCTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHERSON",
        "authorized_official_first_name": "RHIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-223-9202",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "NU",
            "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 Jun 20, 2023; 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.