LAKEVIEW FAMILY PRACTICE, LLC
NPI 1356068480
Clinic/Center - Primary Care in Palmer, AK

Active since October 19, 2022CLIA 02D2329320 · Waiver
1901 N HEMMER RD APT 208, PALMER, AK 99645(907) 203-4677(800) 516-0397 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2022, Oct 19, 2022 (2 updates tracked since 2022).

About Lakeview Family Practice, Llc NPPES

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

LAKEVIEW FAMILY PRACTICE, LLC (NPI 1356068480) is a healthcare organization registered as a primary care in Palmer, Alaska and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Kimberly J Crandall, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1356068480
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKEVIEW FAMILY PRACTICE, LLC
Location Address1901 N HEMMER RD APT 208Palmer, AK 99645-9673
Mailing Address1901 N Hemmer Rd Apt 208Palmer, AK 99645-9673 · (907) 745-3770
Fax(800) 516-0397
Organization SubpartNo
Authorized OfficialKimberly J CrandallFamily Nurse Practitioner · (907) 982-7470
Enumeration DateOctober 19, 2022
Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1356068480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1901 N HEMMER RD APT 208, Palmer, AK 99645

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 02D2329320

Lakeview Family Practice, LLC · Palmer, AK
Active · expires Aug 25, 2027
CLIA Number02D2329320
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorKimberly Crandall
Laboratory Phone(907) 203-4677
Laboratory LocationLakeview Family Practice, LLC1901 N Hemmer Rd, Suite 208, Palmer, AK 99645
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
1901 N HEMMER RD APT 208
PALMER, AK 99645
Family Medicine
1901 N HEMMER RD APT 208
PALMER, AK 99645
Family Medicine
1901 N HEMMER RD APT 208
PALMER, AK 99645

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 Lakeview Family Practice, LLC's NPI number?

The NPI number for Lakeview Family Practice, LLC is 1356068480. It was assigned to this organization in the NPPES registry on October 19, 2022.

Where is Lakeview Family Practice, LLC located?

Lakeview Family Practice, LLC is located at 1901 N Hemmer Rd Apt 208, Palmer, AK 99645. The listed phone number is (907) 203-4677.

What is Lakeview Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Lakeview Family Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2329320) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeview Family Practice, LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Lakeview Family Practice, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeview Family Practice, LLC was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.