Active NPI
Conor Lally
- Peer Specialist
- Wasilla, AK
National Provider Identifier
1821905688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2650 E Broadview Ave
Wasilla, AK 99654-8302 - Phone
- (907) 313-1333
- NPI assigned
- Aug 26, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
2650 E Broadview Ave
Wasilla, AK 99654-8302
Mailing address
591 S Knik Goose Bay Rd
Wasilla, AK 99654-8062
Phone (907) 313-1333
Other practice location 1
2700 E Broadview Ave
Wasilla, AK 99654-8370
Phone (907) 313-1333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1821905688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 S KNIK GOOSE BAY RD",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548062",
"telephone_number": "907-313-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 E BROADVIEW AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548302",
"telephone_number": "907-313-1333"
}
],
"practiceLocations": [
{
"address_1": "2700 E Broadview Ave",
"address_purpose": "LOCATION",
"city": "Wasilla",
"state": "AK",
"postal_code": "996548370",
"country_code": "US",
"telephone_number": "907-313-1333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LALLY",
"first_name": "CONOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.