NPIMap

Organization Active NPI

Copper River Native Association

  • Massage Therapist
  • Copper Center, AK
National Provider Identifier
1912632167
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
COPPER RIVER NATIVE ASSOCIATION
Practice address
111.5 Richardson Hwy
Copper Center, AK 99573
Phone
(907) 206-6812
NPI assigned
Jul 21, 2022
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Nikki R Wiedlund
Title
Patient Financial Services Manager
Phone
(907) 206-6812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

111.5 Richardson Hwy
Copper Center, AK 99573

Mailing address

PO Box 383
Glennallen, AK 99588-0383
Phone (907) 602-6812

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://anmcak-sf.cernerworkswan.com/Citrix/PRODWeb/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Copper River Native Assoc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1912632167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "GLENNALLEN",
            "state": "AK",
            "postal_code": "995880383",
            "telephone_number": "907-602-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111.5 RICHARDSON HWY",
            "city": "COPPER CENTER",
            "state": "AK",
            "postal_code": "99573",
            "telephone_number": "907-206-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER RIVER NATIVE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "WIEDLUND",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PATIENT FINANCIAL SERVICES MANAGER",
        "authorized_official_telephone_number": "907-206-6812"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://anmcak-sf.cernerworkswan.com/Citrix/PRODWeb/",
            "affiliation": "N",
            "endpointDescription": "Cerner",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111.5 RICHARDSON HWY",
            "city": "COPPER CENTER",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Copper Center, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.