Trisha Kolegar

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Practice address

4360 N Wyoming Rd
Wasilla, AK 99654-9121

Phone

(907) 376-5643

NPI assigned

Sep 24, 2009

Last updated

Sep 24, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1861726713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 N WYOMING RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996549121",
            "telephone_number": "907-376-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 N WYOMING RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996549121",
            "telephone_number": "907-376-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLEGAR",
        "first_name": "TRISHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niki Knowlton, MSW, MPH
• Brett Croft Kocherhans, DDS
• Jon Anthony Koivunen, MD
• Jill Louise Kokotovich
• Ben T. Kolean, DDS
• Carol Koliadko
• Julia Madeline Kollesar, DDS
• Kathryn Kolp
• Zachary P Kolvoord
• Amanda Nichole Komonaseak

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.