Native Village of Eklutna

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NATIVE VILLAGE OF EKLUTNA

Practice address

26339 Eklutna Village Rd.
Chugiak, AK 99567-0666

Phone

(907) 688-6031

Fax

(907) 688-6032

NPI assigned

Dec 8, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Violet Frances Rice, FNP

Title

Health Director/Provider

Phone

(907) 688-6031

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eklutna Village Clinic Doing business as

Locations

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1891930699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26339 EKLUTNA VILLAGE RD",
            "address_2": "P.O. BOX 670666",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675148",
            "telephone_number": "907-688-6031",
            "fax_number": "907-688-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26339 EKLUTNA VILLAGE RD.",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995670666",
            "telephone_number": "907-688-6031",
            "fax_number": "907-688-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE VILLAGE OF EKLUTNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "HEALTH DIRECTOR/PROVIDER",
        "authorized_official_telephone_number": "907-688-6031",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP02962",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CL5246",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eklutna Village Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Moore, PT
• Kristen Moore
• Patricia Ann Morgan, M.S., CCC-SLP
• Aubrey Camille Mossi
• My Ride LCC
• Native Vllage of Eklutna
• Nevells LLC
• Juliann Marie Nevells, MS, OTR/L
• Divine Nganga, CDC I
• Northern Hope Counseling

• Family Nurse Practitioner in Chugiak, AK
• Providers in Chugiak, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.