KATIE'S WAY FAIRBANKS LLC NPI 1144927096

NPI Information

  • NPI: 1144927096
  • Provider Name: KATIE'S WAY FAIRBANKS, LLC
  • Classification: Psychiatry & Neurology - 2084B0040X
  • Specialization: Behavioral Neurology & Neuropsychiatry
  • Entity Type: Organization
  • Doing Business As: KATIES WAY
  • Address: 1275 SADLER WAY STE 104
    FAIRBANKS, AK
    ZIP 99701
  • Phone: (907) 921-5511

Map and Directions

Get Directions

NPI Details

KATIE'S WAY FAIRBANKS, LLC is a behavioral neurology and neuropsychiatry psychiatry neurology in Fairbanks, AK. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. KATIE'S WAY FAIRBANKS, LLC NPI is 1144927096. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Katies Way.

The provider's business location address is:

1275 SADLER WAY STE 104
FAIRBANKS, AK
ZIP 99701-175
Phone: (907) 921-5511
Fax: (907) 921-3574

The provider's authorized official is Kelly Rae Johnson .
The authorized official title is Credentialing Director and has the following contact phone number (785) 320-6616.

The enumeration date for this NPI number is 2/10/2023 and was last updated on 11/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2103G00000XClinical NeuropsychologistNo
3103T00000XPsychologistNo
4103TB0200XPsychologistCognitive & BehavioralNo
5103TP0814XPsychologistPsychoanalysisNo
61041C0700XSocial WorkerClinicalNo
7106H00000XMarriage & Family TherapistNo
8202D00000XIntegrative MedicineNo
9207QA0505XFamily MedicineAdult MedicineNo
102081P2900XPhysical Medicine & RehabilitationPain MedicineNo
112084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryYes
122084P0015XPsychiatry & NeurologyPsychosomatic MedicineNo
132084P0800XPsychiatry & NeurologyPsychiatryNo
142084P2900XPsychiatry & NeurologyPain MedicineNo
15363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI