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Katie'S Way Fairbanks, LLC

Behavioral Neurology & Neuropsychiatry Physician in Fairbanks, AK · enumerated 2023 · authorized official Kelly Johnson, Credentialing Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144927096

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Registry record

Entity type Organization (Type 2)
Legal business name Katie'S Way Fairbanks, LLC
Other name <Unavail>
Practice address 1275 Sadler Way Ste 104, Fairbanks, AK, 99701
Phone (907) 921-5511
Fax (907) 921-3574
Enumeration date Feb 10, 2023
Last updated in NPPES Nov 20, 2024

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers Secondary
103TP0814X Psychoanalysis Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary
202D00000X Integrative Medicine Physician Allopathic & Osteopathic Physicians Secondary
207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary
2084B0040X Behavioral Neurology & Neuropsychiatry Physician Allopathic & Osteopathic Physicians Primary
2084P0015X Psychosomatic Medicine Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2084P2900X Pain Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kelly Johnson
Title Credentialing Director
Phone (785) 320-6616

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Katie'S Way Fairbanks, LLC?
The NPI for Katie'S Way Fairbanks, LLC is 1144927096, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Katie'S Way Fairbanks, LLC?
NPPES lists Kelly Johnson (Credentialing Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-20.