DAISY VANSLYKE (NPI# 1053963926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053963926 |
| Entity Type | Individual |
| Full Name | DAISY VANSLYKE |
| Credential | BSW |
| Practice Address |
851 E Westpoint Dr Wasilla AK 99654-7191 |
| Mailing Address |
351 E Westpoint Dr Wasilla AK 99654-7191 |
| Practice Telephone | 9073575436 |
| Mailing Telephone | 9073575436 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2600 Cordova St Ste 101, Anchorage, AK 995032745 | 9072799634 |
| Street Address |
851 E WESTPOINT DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821004383 | Lisa L Harrison | Family Medicine | 851 E Westpoint Dr, Suite 310, Wasilla, AK 99654-7191 | 2006-08-01 |
| 1184074189 | Arctic Pain Relief Center, LLC | Clinic/Center | 851 E Westpoint Dr, Suite B1, Wasilla, AK 99654-7191 | 2016-06-21 |
| 1003244211 | Wild Iris LLC | Family Medicine | 851 E Westpoint Dr, Suite 207, Wasilla, AK 99654-7183 | 2013-10-25 |
| 1508124587 | Eric A Nimmo Md Apc | Family Medicine | 851 E Westpoint Dr, Ste 302, Wasilla, AK 99654-7191 | 2012-04-27 |
| 1871724773 | Christi Hill, Anp Family Psychiatry LLC | Nurse Practitioner | 851 E Westpoint Dr, Ste. 208, Wasilla, AK 99654-7191 | 2009-07-27 |
| 1538359310 | Heather Brock, Inc | Nurse Practitioner | 851 E Westpoint Dr, Ste 208, Wasilla, AK 99654-7142 | 2007-07-27 |
| 1487778304 | Andrew Richard Jaconette | Anesthesiology | 851 E Westpoint Dr, Suite 203, Wasilla, AK 99654-7191 | 2007-03-17 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1619531217 | Antiqua Lisha Libbey | Counselor | 4821 S Outrigger Dr., Wasilla, AK 99687 | 2019-04-29 |
| 1225691025 | Rebecca Browning | Counselor | 26731 W Point Mackenzie Rd, Wasilla, AK 99623-8709 | 2019-04-17 |
| 1659722114 | Community Medical Services Montana-private, LLC | Counselor | 2521 E Mountain Village Dr Ste F, Wasilla, AK 99654 | 2016-06-27 |
| 1891112488 | Paul Bossart | Counselor | 1810 S Redwing Cir, Wasilla, AK 99654-9744 | 2014-03-21 |
| 1124321989 | Douglas Edward Smith | Counselor | 5431 E Mayflower Ln, Suite 5, Wasilla, AK 99654-7891 | 2010-12-16 |
| 1407170269 | Clifton Young IIi | Counselor | 701 E Parks Hwy Ste 203, Wasilla, AK 99654-8162 | 2010-03-23 |
| 1225268832 | Olive Tree Counseling, Inc. | Counselor | 5730 E Pilgrim Court, Suite A, Wasilla, AK 99654 | 2009-07-16 |
| 1285872317 | Rae Ann Hendrickson | Counselor | 5730 E Pilgrim Ct, Suite A, Wasilla, AK 99654-7824 | 2009-01-28 |
| Find all providers in WASILLA | ||||
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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.