CAROL INDORF (NPI# 1083977961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083977961 |
Entity Type | Individual |
Full Name | CAROL INDORF |
Practice Address |
1408 19th Ave Fairbanks AK 99701-5903 |
Mailing Address |
297 Snowy Owl Ln Fairbanks AK 99712-1243 |
Practice Telephone | 9074516682 |
Enumeration Date | 2012-06-17 |
Last Update Date | 2012-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN 12785 | AK | Nursing Service Providers |
Street Address |
1408 19TH AVE |
City | FAIRBANKS |
State | AK |
Zip Code | 99701-5903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699763342 | Dean Latham Zuelsdorf | Psychologist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2005-10-06 |
1518214675 | Stasha Goodin | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-08-08 |
1518213685 | Derek M Weber | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-07-26 |
1962757435 | Janet Richardson | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-07-19 |
1891097697 | Chief Anedrew Isaac Health Center | Clinic/Center | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2010-11-30 |
1700114733 | Christinia Yvonne Smith | Licensed Practical Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2009-12-02 |
1992944128 | Clinton James Smith | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2009-02-11 |
1487807749 | Susan Louise Robinson | Licensed Practical Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2008-10-30 |
1548422884 | Rita S Osborne | Dietitian, Registered | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2008-06-27 |
1174784391 | Kimberly Lynn Gebauer | Registered Nurse | 1408 19th Ave, 4th Floor, Clinical Nursing, Fairbanks, AK 99701-5903 | 2008-06-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
Find all providers in zip 99701 |
Taxonomy Code | 163WC0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467631473 | Helen Adams | Registered Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2007-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
1982249884 | Laura Suzanne Havens | Registered Nurse | 1076 Gaffney Rd Stop 7400, Ft Wainwright, AK 99703-5001 | 2019-11-14 |
1447654371 | Stellina Essim | Registered Nurse | 3380 C St Ste 107, Anchorage, AK 99503-3949 | 2014-10-21 |
1487891230 | Karen Jean Loverink | Registered Nurse | 3200 Hospital Dr, Juneau, AK 99801-7808 | 2009-01-15 |
1043430523 | Kimberly S Hunter-tigner | Registered Nurse | 202 Gjoa St., Petersburg, AK 99833-1769 | 2007-04-26 |
1114147758 | Cynthia Gail Austin | Registered Nurse | 7300 Klawock Hollis Hwy, Klawock, AK 99925 | 2007-04-26 |
1942281092 | Penelope Helen Ward | Registered Nurse | 1060 Gaffney Rd #7440, Bassett Army Community Hospital, Ft. Wainwright, AK 99703-7440 | 2005-11-07 |
1558991257 | Janice Fulton | Registered Nurse | 724 Postal Service Loop Stop 7499, Fort Richardson, AK 99505-7499 | 2020-01-22 |
1184269003 | Carrie Moore | Registered Nurse | 1060 Gaffney Rd Stop 7400, Fort Wainwright, AK 99703-5007 | 2019-11-14 |
1972148880 | Sha-lisa Mcknight | Registered Nurse | 1060 Gaffney Rd Stop 7400, Fort Wainwright, AK 99703-5007 | 2019-11-14 |
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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.