FAIRBANKS FAMILY WELLNESS,LLC (NPI# 1285019869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285019869 |
| Entity Type | Organization |
| Organization Name | FAIRBANKS FAMILY WELLNESS,LLC |
| Practice Address |
3550 Airport Way Ste 4 Fairbanks AK 99709-4772 |
| Mailing Address |
3550 Airport Way #4 Fairbanks AK 99709 |
| Practice Telephone | 9074792306 |
| Mailing Telephone | 9074792331 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | SHERRY JEAN FALCONER (BILLING SUPERVISOR) |
| Authorized Official Telephone | 9074792331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 596 | AK | Chiropractic Providers |
| N | 171100000X | Acupuncturist | 152 | AK | Other Service Providers |
| Y | 175F00000X | Naturopath | 40 | AK | Other Service Providers |
| Street Address |
3550 AIRPORT WAY STE 4 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-4772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265545651 | Amy A Williamson | Registered Nurse | 3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 | 2006-08-17 |
| 1346754207 | Caroline Tautz Hutto | Advanced Practice Midwife | 3550 Airport Way Ste 4, Fairbanks, AK 99709 | 2017-11-29 |
| 1629483979 | Sara Mp Wood | Counselor | 3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 | 2014-06-25 |
| 1952604662 | Monique Mayo | Chiropractor | 3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 | 2010-12-20 |
| 1013145333 | Laurie E Hoyt | Social Worker | 3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 | 2009-06-25 |
| 1548446297 | Building Blocks Physical Therapy, Inc | Clinic/Center | 3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 | 2008-01-11 |
| 1962525295 | Melissa Christensen | Physical Therapist | 3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 | 2007-04-10 |
| 1184791204 | Nam Wook Jeon | Acupuncturist | 3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521552 | White Spruce Medical, LLC | Naturopath | 1275 Sadler Way Ste 100, Fairbanks, AK 99701-3175 | 2020-03-02 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1407945439 | Beth Ellen Laughlin | Naturopath | 222 Front St, Fairbanks, AK 99701-3145 | 2006-10-11 |
| 1497767388 | Susan C Godwin | Naturopath | 822 Lowell Rd, Fairbanks, AK 99712-1513 | 2006-08-12 |
| 1215983259 | Alaska Center for Natural Medicine Inc | Naturopath | 104 Kutter Rd, Fairbanks, AK 99701-3169 | 2006-05-25 |
| 1538153580 | Mary A Minor | Naturopath | 1221 Noble St, Ste 101, Fairbanks, AK 99701-4926 | 2005-09-06 |
| 1346725652 | Amy Marie Seiberlich | Naturopath | 3039 Davis Rd, Fairbanks, AK 99709-5234 | 2018-10-02 |
| 1124562517 | Jade Robins | Naturopath | 3039 Davis Rd, Fairbanks, AK 99709-5234 | 2016-12-05 |
| 1326419284 | Aimee Kaye Svendsen | Naturopath | 3039 Davis Rd, Fairbanks, AK 99709-5234 | 2015-10-16 |
| 1144624198 | Caralyne Delaney | Naturopath | 3039 Davis Rd, Fairbanks, AK 99709-5234 | 2014-10-20 |
| Find all providers in FAIRBANKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.