NPIMap

Organization Active NPI

Orchard Assisted Living

  • Intellectual & Developmental Disabilities Psychologist
  • Anchorage, AK
National Provider Identifier
1811423486
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
101114 Issued in AK
Legal business name
ORCHARD ASSISTED LIVING
Practice address
400 W 76TH Ave
#105
Anchorage, AK 99518-2551
Phone
(907) 306-4173
NPI assigned
May 2, 2017
Last updated
May 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Ms. Jessica Tiara FultonNPI 1629585229
Title
Owner, Administrator
Phone
(907) 306-4173

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
Intellectual & Developmental Disabilities Psychologist 103TM1800X 101114 AK Primary

Addresses

Primary practice location

400 W 76TH Ave
#105
Anchorage, AK 99518-2551

Mailing address

400 W 76TH Ave
#105
Anchorage, AK 99518-2551
Phone (907) 306-4173

National Provider Directory

National Provider Directory

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": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1811423486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 76TH AVE",
            "address_2": "#105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182551",
            "telephone_number": "907-306-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 76TH AVE",
            "address_2": "#105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182551",
            "telephone_number": "907-306-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "TIARA",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "907-306-4173",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "AK",
            "license": "101114",
            "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 2, 2017; 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.