NPIMap

Organization Active NPI

Alaska Migraine Specialists, LLC

  • Family Nurse Practitioner
  • Eagle River, AK
National Provider Identifier
1992465868
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ALASKA MIGRAINE SPECIALISTS, LLC
Practice address
13135 Old Glenn Hwy Ste 100
Eagle River, AK 99577-7584
Phone
(907) 331-9835
NPI assigned
Dec 20, 2021
Last updated
Feb 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Tracy Borton
Title
Office Manager
Phone
(907) 331-9835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

13135 Old Glenn Hwy Ste 100
Eagle River, AK 99577-7584

Mailing address

PO Box 670601
Chugiak, AK 99567-0601
Phone (907) 331-9835

National Provider Directory

National Provider Directory

Locations

13135 Old Glenn Hwy
Ste 100
Eagle River, AK 99577
Phone (907) 331-9835

Practitioners & affiliated clinicians

Practitioners 6

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": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1992465868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670601",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995670601",
            "telephone_number": "907-331-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 OLD GLENN HWY STE 100",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777584",
            "telephone_number": "907-331-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA MIGRAINE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "BORTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-331-9835"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.