NPIMap

Organization Active NPI

Vitae Integrative Medical Center

  • Clinic/Center
  • Anchorage, AK
National Provider Identifier
1760852388
Registry record updated Sep 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
986 Issued in AK
Legal business name
VITAE INTEGRATIVE MEDICAL CENTER
Practice address
2925 Debarr Rd
Suite 150
Anchorage, AK 99508-2959
Phone
(907) 441-5568
NPI assigned
Sep 26, 2015
Last updated
Sep 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2015

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

Authorized official

Name
Mrs. Christine Knobel Sagan, APRNNPI 1891988069
Title
Nurse Practitioner, Owner
Phone
(907) 441-5568

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
Clinic/Center 261Q00000X 986 AK Primary

Addresses

Primary practice location

2925 Debarr Rd
Suite 150
Anchorage, AK 99508-2959

Mailing address

4111 Romanzof Cir
Anchorage, AK 99517-1492
Phone (907) 441-5568

National Provider Directory

National Provider Directory

Locations

2925 Debarr Rd
Ste 150
Anchorage, AK 99508
Phone (530) 613-7611

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12186/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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": "1443225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443225600000",
    "number": "1760852388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 ROMANZOF CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171492",
            "telephone_number": "907-441-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 DEBARR RD",
            "address_2": "SUITE 150",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082959",
            "telephone_number": "907-441-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAE INTEGRATIVE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-26",
        "last_updated": "2015-09-26",
        "status": "A",
        "authorized_official_last_name": "SAGAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "KNOBEL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, OWNER",
        "authorized_official_telephone_number": "907-441-5568",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "986",
            "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 Sep 26, 2015; 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.