NPIMap

Organization Active NPI

Achieve Medical Alaska LLC

  • Medical Specialty Clinic/Center
  • Wasilla, AK
National Provider Identifier
1922648690
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ACHIEVE MEDICAL ALASKA LLC
Practice address
1981 E Palmer
Suite 230
Wasilla, AK 99654
Phone
(619) 383-6700
Fax
(619) 383-6701
NPI assigned
Jan 10, 2020
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Trina R Weatherford
Title
Manager
Phone
(619) 540-3328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

1981 E Palmer
Suite 230
Wasilla, AK 99654

Mailing address

PO Box 601453
San Diego, CA 92160-1453
Phone (619) 540-3328

Other practice location 1

2741 DeBarr Rd Ste 411
Anchorage, AK 99508-2961
Phone (619) 383-6700

Other practice location 2

9360 Glacier Hwy Ste 202
Juneau, AK 99801-7012
Phone (619) 383-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200707001224 AK Part B Supplier - Clinic/Group Practice 1951730183 Receives reassigned benefits from 20 practitioners
Practice locations: Anchorage, AK; Wasilla, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1922648690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601453",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921601453",
            "telephone_number": "619-540-3328",
            "fax_number": "619-383-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 E PALMER",
            "address_2": "SUITE 230",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "619-383-6700",
            "fax_number": "619-383-6701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2741 DeBarr Rd Ste 411",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995082961",
            "country_code": "US",
            "telephone_number": "619-383-6700",
            "fax_number": "619-383-6701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9360 Glacier Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017012",
            "country_code": "US",
            "telephone_number": "619-383-6700",
            "fax_number": "619-383-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACHIEVE MEDICAL ALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "WEATHERFORD",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-540-3328"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.