CORINNE FAYE OLIVERA (NPI# 1003879222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003879222 |
| Entity Type | Individual |
| Full Name | CORINNE FAYE OLIVERA |
| Credential | PA-C |
| Practice Address |
5005 Raspberry Rd Building 9 Anchorage AK 99502-1982 |
| Mailing Address |
Po Box 220176 Anchorage AK 99522-0176 |
| Practice Telephone | 9072491276 |
| Practice Fax Number | 9072491145 |
| Mailing Telephone | 9072485818 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
407 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5005 RASPBERRY RD BUILDING 9 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99502-1982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336158401 | Andrew Wayne Swartz | Family Medicine | 5005 Raspberry Rd, 176 Mdg, Kulis Angb, Anchorage, AK 99502-1982 | 2006-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073157897 | Thelma Desjarlais | Case Manager/Care Coordinator | 9201 Shorecrest Drive, Anchorage, AK 99502 | 2019-11-05 |
| 1659851038 | Vonice LLC | Pharmacy | 4311 W Lake Cir, Anchorage, AK 99502 | 2018-08-15 |
| 1447736798 | Kelly Wilson | Assisted Living Facility | 8848 Gloralee St, Anchorage, AK 99502 | 2018-07-18 |
| 1912405770 | In His Image LLC | Custodial Care Facility | 2253 Mistybrook Cir, Anchorage, AK 99502 | 2018-01-26 |
| 1316344963 | Alaska Regional Life Flight Corporation | Ambulance | 3474 Old International Airport Road, Anchorage, AK 99502 | 2014-11-25 |
| 1164827101 | Dante Kun | Counselor | 8000 West End Rd. (pt. Woronzof), Anchorage, AK 99502 | 2014-11-04 |
| 1407256357 | Kayli Ellingson | Pharmacist | 7020 Northwood Drive, 102, Anchorage, AK 99502 | 2014-08-28 |
| 1801168620 | Mckenzie Assisted Living | Clinic/Center | 8812 Hamlet Circle, 8812 Hamlet Circle, Anchorage, AK 99502 | 2012-02-09 |
| 1568623106 | South Anchorage Dental Clinic LLC | Dental Assistant | 9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502 | 2008-06-17 |
| 1154580611 | Tonia Marie Taylor | Assisted Living Facility | 2821 Ruby Drive, Anchorage, AK 99502 | 2008-06-09 |
| Find all providers in zip 99502 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1770977571 | Audrey Christine Kelley | Physician Assistant | 9150 Jewel Lake Rd # B, Anchorage, AK 99502-5381 | 2015-03-19 |
| 1851799027 | Jennifer Anne Fayette | Physician Assistant | 2741 Debarr Rd Ste C302, Anchorage, AK 99508-2972 | 2014-12-19 |
| 1053667956 | Heather Cherie Pollard | Physician Assistant | 4000 Ambassador Drive, Chap Training, Anchorage, AK 99508 | 2012-07-28 |
| 1033447909 | Gregory Scott Hackenbruch | Physician Assistant | 2741 Debarr Road, Suite 307, Anchorage, AK 99508 | 2009-12-03 |
| 1265553481 | Joanie Randle | Physician Assistant | 3330 Arctic Blvd, Anchorage, AK 99503-4523 | 2007-04-03 |
| 1568587517 | William D Crabtree Sr. | Physician Assistant | 6436 Southpointe Ridge Dr, Anchorage, AK 99516-6219 | 2007-03-20 |
| 1245315779 | Carl Lester Brown Jr. | Physician Assistant | 300 West Dimond Blvd., Suite 12, Anchorage, AK 99515 | 2006-10-25 |
| 1952497547 | John Burton Henley II | Physician Assistant | 1500 Debarr Rd, Vamroc Outpatient Clinic, Anchorage, AK 99514-3707 | 2006-10-04 |
| 1700990371 | Clayton E Langland | Physician Assistant | 9525 King St., Medical Department - Lipinski, Anchorage, AK 99515-0000 | 2006-08-19 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.