PNPS of Alaska, Randy Twenhafel PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1145 Issued in AK

Legal business name

PNPS OF ALASKA, RANDY TWENHAFEL PC

Practice address

5139 Wood Hall Dr
Anchorage, AK 99516-7536

Phone

(907) 317-2506

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Randall J Twenhafel, PNP

Title

Chairman, Ceo, President

Phone

(907) 644-3011

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1912288770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 WOOD HALL DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995167536",
            "telephone_number": "907-317-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5139 WOOD HALL DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995167536",
            "telephone_number": "907-317-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNPS OF ALASKA, RANDY TWENHAFEL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "TWENHAFEL",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN, CEO, PRESIDENT",
        "authorized_official_telephone_number": "907-644-3011",
        "authorized_official_credential": "PNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AK",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0141",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Michael Plourde, DMD
• Angela Jean Plucker, LPC
• Shelly Plumb
• Patrick Aaron Plunkett, MD
• PM Pediatrics of Alaska (Alaska Pediatrics Night Clinic)
• Amanda Rochelle Poe
• Heather Poe, RD, LD
• Corrie Leigh Poelman, MD
• Sarah Beth Poggi, MD
• Stephen Robert Poggi, PA-C

• Pediatric Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pediatric Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.