TRAILHEAD MEDICAL CARE LLC
NPI 1275307449
Family Medicine in Anchorage, AK

Active since November 08, 2023CLIA 02D2296070 · Waiver
729 NORTHWAY DR, ANCHORAGE, AK 99508(907) 644-3239(907) 644-3983 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 24, 2025, Nov 8, 2023 (2 updates tracked since 2023).

About Trailhead Medical Care Llc NPPES

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

TRAILHEAD MEDICAL CARE LLC (NPI 1275307449) is a healthcare organization registered as a family medicine in Anchorage, Alaska and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Tiffany Jeanette Ell, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1275307449
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRAILHEAD MEDICAL CARE LLC
Location Address729 NORTHWAY DRAnchorage, AK 99508-2030
Mailing Address729 Northway DrAnchorage, AK 99508-2030 · (907) 644-3239 · Fax (907) 644-3983
Fax(907) 644-3983
Organization SubpartNo
Authorized OfficialTiffany Jeanette EllOwner/member · (303) 990-1432
Enumeration DateNovember 8, 2023
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
NPI 1275307449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
729 NORTHWAY DR, Anchorage, AK 99508

Accepted Insurance

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 02D2296070

Trailhead Medical Care · Anchorage, AK
Active · expires Dec 19, 2027
CLIA Number02D2296070
Laboratory TypeNp Family Clinic
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorTiffany J. Tate
Laboratory Phone(907) 644-3239
Laboratory LocationTrailhead Medical Care729 Northway Dr, Anchorage, AK 99508
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 (Family)
729 NORTHWAY DR
ANCHORAGE, AK 99508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275307449, enumerated as an "organization" on November 08, 2023.

The provider is located at 729 NORTHWAY DR ANCHORAGE, AK 99508 and the phone number is (907) 644-3239.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.