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GIRDWOOD CLINIC, INC.
NPI 1083657712
Nurse Practitioner in Girdwood, AK

Active since June 13, 2006CLIA 02D0884007 · Waiver
LOT 17 BLOCK 1, NEW GIRDWOOD TOWN SITE, GIRDWOOD, AK 99587(907) 783-1355(907) 783-1357 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Girdwood Clinic, Inc. NPPES

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

GIRDWOOD CLINIC, INC. (NPI 1083657712) is a healthcare organization registered as a nurse practitioner in Girdwood, Alaska and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Kerry L Dorius, President, as its authorized official.

NPPES Registry Identity

NPI1083657712
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameGIRDWOOD CLINIC, INC.
Location AddressLOT 17 BLOCK 1, NEW GIRDWOOD TOWN SITEGirdwood, AK 99587
Mailing AddressPo Box 1130Girdwood, AK 99587-1130 · (907) 783-1355 · Fax (907) 783-1357
Phone(907) 783-1355
Fax(907) 783-1357
Organization SubpartNo
Authorized OfficialKerry L DoriusPresident · (907) 783-1355
Enumeration DateJune 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083657712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
LOT 17 BLOCK 1, Girdwood, AK 99587
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Other Identifiers 1

MedicaidMS5623AK

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D0884007

Girdwood Health Clinic, Inc · Girdwood, AK
Active · expires Nov 9, 2026
CLIA Number02D0884007
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorDr. Erin Lester
Laboratory Phone(907) 783-1355
Laboratory LocationGirdwood Health Clinic, Inc131 Lindblad Avenue, Girdwood, AK 99587
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Girdwood Clinic, Inc.'s NPI number?

The NPI number for Girdwood Clinic, Inc. is 1083657712. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Girdwood Clinic, Inc. located?

Girdwood Clinic, Inc. is located at Lot 17 Block 1 New Girdwood Town Site, Girdwood, AK 99587. The listed phone number is (907) 783-1355.

What is Girdwood Clinic, Inc.'s specialty?

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

Does Girdwood Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D0884007) is associated with this NPI, valid through November 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Girdwood Clinic, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.