LIFE FAMILY CHIROPRACTIC, LLC (NPI# 1396906293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396906293 |
Entity Type | Organization |
Organization Name | LIFE FAMILY CHIROPRACTIC, LLC |
Practice Address |
2650 E Broadview Ave Suite Z Wasilla AK 99654-8302 |
Practice Telephone | 9073734325 |
Practice Fax Number | 9073767440 |
Mailing Telephone | 9073734325 |
Mailing Fax Number | 9073767440 |
Enumeration Date | 2008-06-23 |
Last Update Date | 2009-08-17 |
Authorized Official Name | DR. STACEY RENEE LOWE (PRESIDENT) |
Authorized Official Telephone | 9073734325 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 404 | AK | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | CH0404 | 05 |
Street Address |
2650 E BROADVIEW AVE SUITE Z |
City | WASILLA |
State | AK |
Zip Code | 99654-8302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740358167 | Katherine Grace Van Atta | Physician Assistant | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2006-12-01 |
1477189520 | Elizabeth Moran | Advanced Practice Midwife | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2020-03-20 |
1205373883 | Erica Wright | Nurse Practitioner | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2017-01-20 |
1568810513 | Veronica Helga Wagner | Advanced Practice Midwife | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2016-06-01 |
1407249121 | Samantha Keller | Midwife, Lay | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2015-03-05 |
1194010355 | Aubrey Spangler | Nurse Practitioner | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2011-06-16 |
1851532576 | Sabrina Sonia Yoder | Nurse Practitioner | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2009-03-09 |
1063605467 | Jessica W Sawyer | Midwife, Lay | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2007-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
Find all providers in zip 99654 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477976371 | Christensen Chiropractic LLC | Chiropractor | 701 S Knik Goose Bay Rd Ste C, Wasilla, AK 99654-8084 | 2014-01-28 |
1265700678 | Garrett Wallace Christensen | Chiropractor | 1261 S Seward Meridian Pkwy Ste F, Wasilla, AK 99654-8372 | 2011-12-13 |
1467760397 | Scott Folsom | Chiropractor | 802 S Rainbow St Ste 1, Wasilla, AK 99629 | 2010-09-14 |
1114241312 | Elizabeth Anne Keeter | Chiropractor | 2801 E. Palmer-wasilla Hwy., Suite C., Wasilla, AK 99654 | 2010-03-17 |
1245554526 | Samuel Woolfenden | Chiropractor | 1301 S Seward Meridian Pkwy, Suite G, Wasilla, AK 99654-8369 | 2010-03-16 |
1356572911 | Constance M. Jerz | Chiropractor | 1001 E. Bogard Rd., Wasilla, AK 99654 | 2009-07-30 |
1225272594 | Altair Chiropractic, LLC | Chiropractor | 3161 E Palmer Wasilla Hwy, Suite1, Wasilla, AK 99654-7271 | 2009-04-29 |
1457592594 | Jonathan F Ramirez Dc LLC | Chiropractor | 833 Commercial Dr, Wasilla, AK 99654-6937 | 2009-03-19 |
1639368780 | Garden Chiropractic LLC | Chiropractor | 1830 E Parks Hwy, Suite A120, Wasilla, AK 99654-7353 | 2007-10-15 |
1255523015 | Anna Altair | Chiropractor | 452 S Knik Goose Bay Rd, Wasilla, AK 99654-8059 | 2007-08-15 |
Find all providers in WASILLA |
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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.