David Brent Patterson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5195 Issued in AK

Practice address

26731 W Point Mackenzie Rd
Wasilla, AK 99623-8709

Phone

(907) 376-4534

Fax

(907) 376-2348

NPI assigned

Sep 26, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alaska Addiction Rehabilitation Services Inc. Dba Nugen'S Ranch

  • Substance Abuse Rehabilitation Facility
  • Wasilla, AK
  • NPI 1417503764
  NPD

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1831917129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N ORKNEY CT APT 2",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996542404",
            "telephone_number": "602-622-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26731 W POINT MACKENZIE RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996238709",
            "telephone_number": "907-376-4534",
            "fax_number": "907-376-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DAVID",
        "middle_name": "BRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "5195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raina Pasiewicz, RD
• Bhumika Patel, OTR/L
• Path of the Heart, Inc.
• Pathfinder Care Coordination Co
• Stephanie Marie Patten-Young, RBT
• Seth Michael Patterson
• Fawn Elise Paul
• Susan Paul
• Michelle Lynn Pavil
• Pavilion Health Company, LLC

• Addiction (Substance Use Disorder) Counselor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Addiction (Substance Use Disorder) Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.