ALTAIR INTEGRATIVE WELLNESS (NPI# 1932744836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932744836 |
| Entity Type | Organization |
| Organization Name | ALTAIR INTEGRATIVE WELLNESS |
| Practice Address |
3161 E Palmer Wasilla Hwy Ste 1c Wasilla AK 99654-7271 |
| Practice Telephone | 9073571818 |
| Practice Fax Number | 9073571814 |
| Mailing Telephone | 9073571818 |
| Mailing Fax Number | 9073571814 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | DR. TARA E WORKMAN DC (CEO) |
| Authorized Official Telephone | 9073571818 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1636141 | 05 | |
| AK | 1633093 | 05 |
| Street Address |
3161 E PALMER WASILLA HWY STE 1C |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487637948 | Darlene S. Dunn | Nurse Practitioner | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2005-11-29 |
| 1679108005 | Brandy Coe | Massage Therapist | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2020-03-05 |
| 1740846807 | Dopanine LLC | Nutritionist | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2019-05-14 |
| 1235792177 | Alexa Breanne Pullen | Nutritionist | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2019-04-16 |
| 1295293074 | Caliann Taborsky | Massage Therapist | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2019-03-11 |
| 1982657144 | Tammy L Saddler | Chiropractor | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2006-05-18 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184074189 | Arctic Pain Relief Center, LLC | Clinic/Center | 851 E Westpoint Dr, Suite B1, Wasilla, AK 99654-7191 | 2016-06-21 |
| 1497825897 | Alaska Clinic LLC | Clinic/Center | 3750 E Country Field Cir Ste B, Wasilla, AK 99654-6659 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265690 | Whole Family Integrated Wellness LLC | Clinic/Center | 600 E 36th Ave Ste 300, Anchorage, AK 99503-4168 | 2020-08-11 |
| 1528600947 | Southcentral Foundation | Clinic/Center | 6901 E Tudor Rd Ste 8, Anchorage, AK 99507-1254 | 2019-10-17 |
| 1063980118 | Tanana Valley Clinic LLC | Clinic/Center | 1101 Noble St, Fairbanks, AK 99701-4924 | 2018-11-07 |
| 1558899807 | Arctic Chiropractic and Physical Medicine Kodiak | Clinic/Center | 2975 Mill Bay Rd Ste A, Kodiak, AK 99615-7831 | 2017-05-31 |
| 1811420391 | Southcentral Foundation | Clinic/Center | 1021 E 3rd Ave, Anchorage, AK 99501-6102 | 2017-04-11 |
| 1942751631 | Fairbanks Memorial Cardiology Clinic, LLC | Clinic/Center | 1650 Cowles St Dept 61a, Fairbanks, AK 99701-5907 | 2016-10-18 |
| 1689021776 | Southcentral Foundation | Clinic/Center | 755 A St, Anchorage, AK 99501-3625 | 2016-05-18 |
| 1194152058 | Peninsula Pediatric Therapy, Inc. | Clinic/Center | 7335 Palmer Wasilla Hwy, Palmer, AK 99645-6007 | 2013-10-08 |
| 1154591451 | La Integrative Primary Care Centre Inc | Clinic/Center | 8811 Toloff St, Anchorage, AK 99507-3848 | 2008-03-03 |
| 1962572099 | Juneau Family Birth Center | Clinic/Center | 3225 Hospital Dr Unit 106, Juneau, AK 99801-7863 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
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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.