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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BANYAN ALASKA, LLC
NPI 1902518848
Substance Abuse Rehabilitation Facility in Wasilla, AK

Active since December 22, 2022CLIA 02D2276977 · Waiver
4750 E BEGICH CIRCLE, WASILLA, AK 99654(907) 290-5450(907) 290-5460 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Jan 29, 2026, May 13, 2025 and 1 more (4 updates tracked since 2022).

About Banyan Alaska, Llc NPPES

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

BANYAN ALASKA, LLC (NPI 1902518848) is a healthcare organization registered as a substance abuse rehabilitation facility in Wasilla, Alaska and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through February 16, 2027, maintains a secondary practice location in Wasilla, and lists Anastasia Nichole Nauman, Contracting And Cred Manager, as its authorized official.

NPPES Registry Identity

NPI1902518848
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBANYAN ALASKA, LLC
Location Address4750 E BEGICH CIRCLEWasilla, AK 99654
Mailing Address225 N Federal HwyPompano Beach, FL 33062-4319 · (954) 533-7705 · Fax (954) 781-7173
Phone(907) 290-5450
Fax(907) 290-5460
Organization SubpartNo
Authorized OfficialAnastasia Nichole NaumanContracting And Cred Manager · (410) 800-8861
Enumeration DateDecember 22, 2022
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1902518848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
4750 E BEGICH CIRCLE, Wasilla, AK 99654
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Secondary Practice Location 1

Location 14701 E Begich CirWasilla, AK 99654-7605 · Phone (907) 290-5450 · Fax (907) 290-5460

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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 02D2276977

Banyan Alaska LLC · Wasilla, AK
Active · expires Feb 16, 2027
CLIA Number02D2276977
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorSherilyn Toro
Laboratory Phone(954) 533-7705
Laboratory LocationBanyan Alaska LLC4750 E Begich Circle, Wasilla, AK 99654
CLIA data matches this NPI record on: Address Name 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 Banyan Alaska, LLC's NPI number?

The NPI number for Banyan Alaska, LLC is 1902518848. It was assigned to this organization in the NPPES registry on December 22, 2022.

Where is Banyan Alaska, LLC located?

Banyan Alaska, LLC is located at 4750 E Begich Circle, Wasilla, AK 99654. The listed phone number is (907) 290-5450.

What is Banyan Alaska, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Banyan Alaska, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2276977) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banyan Alaska, LLC accept?

Health plans from Moda Health Plan, Inc. list Banyan Alaska, 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 Banyan Alaska, LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.