KJT, LLC
NPI 1114800562
Clinic/Center - Multi-Specialty in Fairbanks, AK

Active since July 30, 2025
1314 SHUROS DR, FAIRBANKS, AK 99709(307) 267-6150(833) 986-3605 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kjt, Llc NPPES

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

KJT, LLC (NPI 1114800562), doing business as Black Mountain Wellness, is a healthcare organization registered as a multi-specialty in Fairbanks, Alaska and active in the NPI registry since July 2025. The organization lists Kati Jo Tuma, Owner, as its authorized official.

NPPES Registry Identity

NPI1114800562
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameKJT, LLC
Location Address1314 SHUROS DRFairbanks, AK 99709-6740
Mailing Address560 Granite Peak Dr Apt 102Casper, WY 82609-4522 · (307) 267-6150 · Fax (833) 986-3605
Fax(833) 986-3605
Organization SubpartNo
Authorized OfficialKati Jo TumaOwner · (307) 267-6150
Enumeration DateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1114800562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · PainTaxonomy 261QP3300X
1314 SHUROS DR, Fairbanks, AK 99709

Other Names 1

Doing Business AsBlack Mountain Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kjt, LLC's NPI number?

The NPI number for Kjt, LLC is 1114800562. It was assigned to this organization in the NPPES registry on July 30, 2025. The provider is doing business as Black Mountain Wellness.

Where is Kjt, LLC located?

Kjt, LLC is located at 1314 Shuros Dr, Fairbanks, AK 99709. The listed phone number is (307) 267-6150.

What is Kjt, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Kjt, LLC was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.