RITA EAGLEHEAD (NPI# 1104478874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104478874 |
| Entity Type | Individual |
| Full Name | RITA EAGLEHEAD |
| Credential | B.ED. |
| Practice Address |
2550 Lawlor Rd Fairbanks AK 99709-6458 |
| Mailing Address |
Po Box 81754 Fairbanks AK 99708-1754 |
| Practice Telephone | 9074554725 |
| Practice Fax Number | 9074554730 |
| Mailing Telephone | 9074554725 |
| Mailing Fax Number | 9074554730 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
AK | Behavioral Health & Social Service Providers |
| Street Address |
2550 LAWLOR RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-6458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467654756 | Eric Schaetzle | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2007-05-31 |
| 1225648249 | Erin Olson | Recreation Therapist | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2020-08-04 |
| 1205459393 | Debra Vance | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2020-05-22 |
| 1871130567 | David Roy Fonger Jr. | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-12-02 |
| 1619529674 | Yvette Curtis | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-10 |
| 1124670377 | Caroline Elizabeth Ramos | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-09 |
| 1154973212 | Madeline Mary Derepentigny | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-09 |
| 1598317786 | Wendy Jean Reger | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-09 |
| 1386817237 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2008-04-10 |
| 1982876629 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932526605 | Natosha Malone | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772795 | Cordova School District | Counselor | 275 Second Avenue, Cordova, AK 99574-1330 | 2018-09-06 |
| 1053758920 | Clarice Joann Essex | Counselor | 77 Antoski Rd, Galena, AK 99741 | 2013-05-31 |
| 1639631427 | Shirley Renia Dukes | Counselor | 733 2nd Avenue, Kotzebue, AK 99752 | 2019-04-02 |
| 1346661758 | Marilyn Curtis | Counselor | 717 Rezanof Dr E, Kodiak, AK 99615-6416 | 2014-01-02 |
| 1518194489 | Elizabeth Ann Caffrey | Counselor | 701 Indian River Rd, Sitka, AK 99835-7480 | 2009-06-17 |
| 1619069655 | William Mendenhall Fish | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2006-09-28 |
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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.