Pure Healthcare of Alaska LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PURE HEALTHCARE OF ALASKA LLC

Practice address

4200 Lake Otis Pkwy Ste 301
Anchorage, AK 99508-5226

Phone

(907) 318-9300

Fax

(907) 416-6961

NPI assigned

Feb 21, 2023

Last updated

Jun 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua T Tandy

Title

Director

Phone

(801) 590-9267

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Practitioners 4

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.

• Jared John Martin, FNP-BC

  • Family Nurse Practitioner
  • Bolivar, MO
  • NPI 1659860724

  AK

  Medicare reassignment NPD
• Abigail Christine Souza, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1003499013

  AK

  Medicare reassignment NPD
• Jonathan M Baugh, D.O.

  • Emergency Medicine Physician
  • St George, UT
  • NPI 1578882759
  NPD
• Natalie Price, APRN

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1942915137

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1962100727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "801-590-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-318-9300",
            "fax_number": "907-416-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTHCARE OF ALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "TANDY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-590-9267"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Pullins
• Pulmonary Associates LLC
• Mercy Taliilagi Pulou
• James Ken Puol
• Andrea Purcella
• Pure Infusion of Alaska LLC
• Pure Wellness
• Enkhbat Purevsuren, LMT
• John Charles Purkey
• Suneet Nitin Purohit, M.D.

• Multi-Specialty Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Multi-Specialty Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.