Marsha Sommerville

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

7781 W Dean Dr
Wasilla, AK 99623-0824

Phone

(907) 841-1380

Fax

(907) 841-1380

NPI assigned

Jun 23, 2017

Last updated

Jun 23, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Haven Homes, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wasilla, AK
  • NPI 1598264715

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official
• Windy Ridge Assisted Living

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wasilla, AK
  • NPI 1700312790

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1932629508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 W PARKS HWY # 638",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239300",
            "telephone_number": "907-841-1380",
            "fax_number": "907-357-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7781 W DEAN DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230824",
            "telephone_number": "907-841-1380",
            "fax_number": "907-841-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERVILLE",
        "first_name": "MARSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING",
            "identifier": "100183",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Marie Snyder
• Karl Robert Soderstrom
• Kurt Soeder, MS, PHARM.D.
• Ksenia Yuryevna Sokolova, PA-C
• Ashley Nicole Solle
• Alysa Sonnentag, APRN
• Jacqueline Sorto, PHARMD
• Christy Dawn South, MD
• Southcentral Foundation (BH 1115- Benteh Nuutah Primary Care Center)
• Southcentral Foundation

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.