EAGLE RIVER PAIN & WELLNESS, LLC
NPI 1003255480
Nurse Practitioner in Eagle River, AK

Active since June 19, 2013
16425 BROOKS LOOP, EAGLE RIVER, AK 99577(907) 622-4673(907) 622-4674 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eagle River Pain & Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE RIVER PAIN & WELLNESS, LLC (NPI 1003255480) is a healthcare organization registered as a nurse practitioner in Eagle River, Alaska and active in the NPI registry since June 2013. The organization lists Jessica Joyce Spayd, Owner, as its authorized official.

NPPES Registry Identity

NPI1003255480
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameEAGLE RIVER PAIN & WELLNESS, LLC
Location Address16425 BROOKS LOOPEagle River, AK 99577-8027
Mailing Address16425 Brooks LoopEagle River, AK 99577-8027 · (907) 622-4673 · Fax (907) 622-4674
Fax(907) 622-4674
Organization SubpartNo
Authorized OfficialJessica Joyce SpaydOwner · (907) 622-4673
Enumeration DateJune 19, 2013
Last NPPES UpdateJune 20, 2014
NPI 1003255480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AK · 308947
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

16425 BROOKS LOOP, Eagle River, AK 99577

Other Identifiers 1

Medicaid1584697AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
16425 BROOKS LOOP
EAGLE RIVER, AK 99577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle River Pain & Wellness, LLC's NPI number?

The NPI number for Eagle River Pain & Wellness, LLC is 1003255480. It was assigned to this organization in the NPPES registry on June 19, 2013.

Where is Eagle River Pain & Wellness, LLC located?

Eagle River Pain & Wellness, LLC is located at 16425 Brooks Loop, Eagle River, AK 99577. The listed phone number is (907) 622-4673.

What is Eagle River Pain & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Eagle River Pain & Wellness, LLC was last updated on June 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.