Fridrik Rafn Gudmundsson, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1252 Issued in AK

Practice address

508 Upland St
Kenai, AK 99611-8026

Phone

(907) 335-7500

Fax

(888) 491-3243

NPI assigned

Jul 29, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kenaitze Indian Tribe 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEIFAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kenaitze Indian Tribe

  • Federally Qualified Health Center (FQHC)
  • Kenai, AK
  • NPI 1932114600

  AK

  Medicare reassignment Care Compare group NPD
• Kenaitze Indian Tribe

  • Federally Qualified Health Center (FQHC)
  • Kenai, AK
  • NPI 1295972677
  NPD
• Kenaitze Indian Tribe

  • Community/Behavioral Health Agency
  • Kenai, AK
  • NPI 1699986687
  NPD (past)
• Peninsula Community Health Services of Alaska, Inc.

  • Community/Behavioral Health Agency
  • Soldotna, AK
  • NPI 1124110796
  NPD (past)

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1831531037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245401",
            "telephone_number": "907-335-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UPLAND ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118026",
            "telephone_number": "907-335-7500",
            "fax_number": "888-491-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDMUNDSSON",
        "first_name": "FRIDRIK",
        "middle_name": "RAFN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "1252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714791",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1608701",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary E Griffith
• McKayla Gryder
• Guardian Flight LLC
• Guardian Flight LLC
• Guardian Flight LLC
• Kenneth H Guth, DMD
• Celisa Marie Hahn, DPT, PT
• Lathen T Hall
• James William Halliday Jr., D.M.D.
• Priscilla Ann Ham

• All providers in Kenai, AK
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.