Organization Active NPI

Sunny Denyaavee Center

  • Addiction (Substance Use Disorder) Counselor
  • Fairbanks, AK
National Provider Identifier
1942364997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
712170 Issued in AK
Legal business name
SUNNY DENYAAVEE CENTER
Practice address
59 College Rd
Suite 213
Fairbanks, AK 99701-1702
Phone
(907) 455-4611
Fax
(907) 374-8303
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Audrey SunnyboyNPI 1467516427
Title
Owner President
Phone
(907) 455-4611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 712170 AK Primary

Addresses

Primary practice location

59 College Rd
Suite 213
Fairbanks, AK 99701-1702

Mailing address

59 College Rd
Suite 213
Fairbanks, AK 99701-1702
Phone (907) 455-4611

National Provider Directory

National Provider Directory

Locations

59 College Rd
Ste 213
Fairbanks, AK 99701
Phone (907) 455-4611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942364997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 COLLEGE RD",
            "address_2": "SUITE 213",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997011702",
            "telephone_number": "907-455-4611",
            "fax_number": "907-374-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 COLLEGE RD",
            "address_2": "SUITE 213",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997011702",
            "telephone_number": "907-455-4611",
            "fax_number": "907-374-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY DENYAAVEE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUNNYBOY",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "907-455-4611"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "712170",
            "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 22, 2020; 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.