RANDALL TWENHAFEL (NPI# 1043208960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043208960 |
| Entity Type | Individual |
| Full Name | RANDALL TWENHAFEL |
| Credential | PNP |
| Practice Address |
950 E Bogard Rd Ste 233 Wasilla AK 99654-7185 |
| Practice Telephone | 9073574543 |
| Practice Fax Number | 9073574533 |
| Mailing Telephone | 9073574543 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2011-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1145 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NP0141 | 05 |
| Street Address |
950 E BOGARD RD STE 233 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712882 | Sunshine Community Health Center, Inc | Clinic/Center | 950 E Bogard Rd Ste 233, Wasilla, AK 99654-7185 | 2020-08-28 |
| 1033492681 | Erika Lea Stannard | Psychologist | 950 E Bogard Rd Ste 233, Wasilla, AK 99654-7185 | 2011-09-20 |
| 1871606004 | Paul Forman | Family Medicine | 950 E Bogard Rd Ste 233, Wasilla, AK 99654-7185 | 2006-08-15 |
| 1427065648 | Barbara J Doty | Family Medicine | 950 E Bogard Rd Ste 233, Wasilla, AK 99654-7185 | 2006-08-01 |
| 1699780114 | Valerie K Krozel | Family Medicine | 950 E Bogard Rd Ste 233, Wasilla, AK 99654-7185 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831602341 | Desiree Dawn Cook | Nurse Practitioner | 3750 E. Country Field Circle, Suite C, Wasilla, AK 99654 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041119 | Stephanie Erin Beck | Nurse Practitioner | 20567 Birch Crest Ln, Eagle River, AK 99577-6822 | 2020-04-02 |
| 1407109440 | Alaska Developmental Behavioral Pediatrics | Nurse Practitioner | 19202 Mccrary Rd, Eagle River, AK 99577-7947 | 2012-10-15 |
| 1912288770 | Pnps of Alaska, Randy Twenhafel PC | Nurse Practitioner | 5139 Wood Hall Dr, Anchorage, AK 99516-7536 | 2011-09-06 |
| 1548376775 | Christine Ersland | Nurse Practitioner | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2006-08-21 |
| 1548815459 | Danielle Lisse | Nurse Practitioner | 2741 Debarr Rd Ste C308, Anchorage, AK 99508-2972 | 2019-08-07 |
| 1316501802 | Nicole Lynn Marnell | Nurse Practitioner | 4600 Abbott Rd, Anchorage, AK 99507-4314 | 2019-04-30 |
| 1710488788 | Paulle Jeanne Richard | Nurse Practitioner | 1919 Lathrop St Ste 100, Fairbanks, AK 99701-5937 | 2018-02-26 |
| 1417465279 | Emily Therese Skrocki | Nurse Practitioner | 4501 Diplomacy Dr, Anchorage, AK 99508-5919 | 2018-01-15 |
| 1356727366 | Chantal Sue Hawk | Nurse Practitioner | 4951 Business Park Blvd, Anchorage, AK 99503-7174 | 2015-08-03 |
| 1215292909 | Ashley L Voigt | Nurse Practitioner | 4501 Diplomacy Dr, Anchorage, AK 99508-5919 | 2012-07-09 |
| Find all providers with the same taxonomy | ||||
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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.