Alaska Innovative Medicine, Inc.

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

NURR13740 Issued in AK

Legal business name

ALASKA INNOVATIVE MEDICINE, INC.

Practice address

4300 B St Ste 200
Anchorage, AK 99503-5933

Phone

(907) 229-8777

NPI assigned

Jun 10, 2015

Last updated

Jun 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristi Davis

Title

Administrator

Phone

(907) 229-8777

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1780065227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 B ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035933",
            "telephone_number": "907-229-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 B ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035933",
            "telephone_number": "907-229-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA INNOVATIVE MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-229-8777"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "DTND156",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "AK",
            "license": "NURR13740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaska Human Services
• Alaska Human Services, Inc.
• Alaska Imaging Associates, LLC (Northern Lights Imaging)
• Alaska Independent Care Coordination
• Alaska Innovative Imaging, LLC
• Alaska Innovative Remodeling, Inc.
• Alaska Inpatient Neurology Services, LLC
• Alaska Integrative Medicine
• Alaska Integrative Psychiatry LLC
• Alaska Internal Medicine & Pediatrics LLC

• Case Management Registered Nurse in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Case Management Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.