DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KYRA ELAINE MACKEY AAS, CDC 1, PSP III

MEDICARE: KYRA ELAINE MACKEY AAS, CDC 1, PSP III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist5131AK
2101YA0400XAddiction (Substance Use Disorder) Counselor5359AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568134815
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYRA ELAINE MACKEY AAS, CDC 1, PSP III
Provider Business Mailing Address
First Line : 300 N WILLOW ST
Second Line :
City : WASILLA
State : AK
Zip : 99654-7042
Country : US
Telephone Number : 907-373-4357
Fax Number :
Provider Business Practice Location Address
First Line : 300 N WILLOW ST
Second Line :
City : WASILLA
State : AK
Zip : 99654-7042
Country : US
Telephone Number : 907-373-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2021
Last Update Date : 04/30/2026

Similar Medicare Providers

1215873450 — JOANNE NOEL GLAVES
Practice Location Address:
300 N WILLOW ST
WASILLA, AK
99654-7042
Practice Phone: 907-373-4357
Practice Fax:
1417711011 — MAT SU YOUTH HOUSING
Practice Location Address:
300 N WILLOW ST
WASILLA, AK
99654-7042
Practice Phone: 907-373-4358
Practice Fax:
1235075292 — RAMON ALBERTO RODRIGUEZ
Practice Location Address:
300 N WILLOW ST
WASILLA, AK
99654-7042
Practice Phone: 907-373-4357
Practice Fax:
1851237812 — ABDULRAHMAN BEN-SALAMAH
Practice Location Address:
300 N WILLOW ST
WASILLA, AK
99654-7042
Practice Phone: 907-373-4357
Practice Fax:
1265086078 — BRYAN FIELDS
Practice Location Address:
300 N WILLOW ST
WASILLA, AK
99654-7042
Practice Phone: 907-357-8780
Practice Fax:
1821040999 — LIGHTHOUSE FAMILY MEDICINE, INC
Practice Location Address:
290 N WILLOW ST
WASILLA, AK
99654-7042
Practice Phone: 907-376-5337
Practice Fax:

Directions to “ KYRA ELAINE MACKEY AAS, CDC 1, PSP III” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.