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LEILANI CAROL DISSELKOEN
NPI 1245102417
Student in an Organized Health Care Education/Training Program in Wasilla, AK

Active since September 18, 2025
7010 E BOGARD RD, WASILLA, AK 99654(907) 373-4732 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Leilani Carol Disselkoen NPPES

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

LEILANI CAROL DISSELKOEN (NPI 1245102417) is an individual student in an organized health care education/training program in Wasilla, Alaska and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1245102417
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLEILANI CAROL DISSELKOEN
Location Address7010 E BOGARD RDWasilla, AK 99654-4711
Mailing Address17641 Beaujolais DrEagle River, AK 99577-7515 · (907) 373-4732
Phone(907) 373-4732
Sole ProprietorNo
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1245102417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7010 E BOGARD RD, Wasilla, AK 99654
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Other Providers at the Same Location NPPES 20

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

ELIZABETH TUCKER KNECHT MS, CD
Counselor (Mental Health)
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
CHAD RISINGER
Peer Specialist
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
MR. CLINTON DEAVER FNP-BC
Nurse Practitioner (Family)
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
MRS. JESSICA LYNN REISS
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
KAYSE JENSEN
Student in an Organized Health Care Education/Training Program
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 746-4748
ASHLEIGH WENDT
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 746-4748
JANNA CARLSON
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 746-4748
BONNIE BROOKS
Case Manager/Care Coordinator
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732

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 Leilani Disselkoen's NPI number?

The NPI number for Leilani Disselkoen is 1245102417. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Leilani Disselkoen located?

Leilani Disselkoen practices at 7010 E Bogard Rd, Wasilla, AK 99654. The listed phone number is (907) 373-4732.

What is Leilani Disselkoen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Leilani Disselkoen was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.