KAITLIN WEIDEMAN (NPI# 1043856370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043856370 |
| Entity Type | Individual |
| Full Name | KAITLIN WEIDEMAN |
| Practice Address |
2075 Jordan Ave Juneau AK 99801-8095 |
| Mailing Address |
2201 Crow Hill Dr Apt A14 Douglas AK 99824-5064 |
| Practice Telephone | 9077897610 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2075 JORDAN AVE |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-8095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871643411 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2075 Jordan Ave, Juneau, AK 99801-8049 | 2007-01-12 |
| 1770199002 | Connie Lynn Schaaf | Counselor | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2020-09-22 |
| 1497379705 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2020-06-02 |
| 1699312082 | Ashley Hunt | Case Manager/Care Coordinator | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-12-04 |
| 1235775297 | Virginia Plett | Counselor | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-25 |
| 1033755020 | Luther Gus Marx | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-25 |
| 1992341218 | Tiffany Callaway | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-21 |
| 1518503846 | Alissa Harding | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-21 |
| 1205478658 | Harmony Wentz | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-10-16 |
| 1023650470 | Christopher Keys | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639614530 | Mona Bibb | Technician, Other | 319 Seward St Ste 6, Juneau, AK 99801-1173 | 2016-12-31 |
| 1831251461 | Brandon Malone Fox | Technician, Other | 907 W. 9th St., Juneau, AK 99801 | 2006-12-13 |
| 1033755020 | Luther Gus Marx | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-25 |
| 1992341218 | Tiffany Callaway | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-21 |
| 1518503846 | Alissa Harding | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-21 |
| 1376187575 | Andrew Conteh | Technician, Other | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2019-10-30 |
| 1205478658 | Harmony Wentz | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-10-16 |
| 1023650470 | Christopher Keys | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-10-16 |
| 1306488754 | Jeremiah Carlson | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-10-16 |
| 1083256986 | Matthew Peters | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-10-11 |
| Find all providers in JUNEAU | ||||
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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.