Active NPI
Alicia B. Fitzpatrick, CDC I
- Addiction (Substance Use Disorder) Counselor
- Fairbanks, AK
National Provider Identifier
1902054257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 101YA0400X
- Practice address
- 3100 S Cushman St
Fairbanks, AK 99701-7516 - Phone
- (907) 452-6251
- Fax
- (907) 456-4849
- NPI assigned
- Aug 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101YA0400X | AK | Primary |
Addresses
Primary practice location
3100 S Cushman St
Fairbanks, AK 99701-7516
Mailing address
3100 South Cushman Street
Fairbanks, AK 99701-7516
Phone (907) 452-6251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101YA0400X | AK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1902054257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SOUTH CUSHMAN STREET",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997017516",
"telephone_number": "907-452-6251",
"fax_number": "907-456-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 S CUSHMAN ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997017516",
"telephone_number": "907-452-6251",
"fax_number": "907-456-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "ALICIA",
"middle_name": "B.",
"credential": "CDC I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AK",
"license": "101YA0400X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.