MS. EVELYN LOUISE CLOUGH (NPI# 1124092655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124092655 |
| Entity Type | Individual |
| Full Name | MS. EVELYN LOUISE CLOUGH |
| Credential | ANP, CDCII |
| Practice Address |
44539 Sterling Hwy Suite 105 Soldotna AK 99669-7938 |
| Mailing Address |
Po Box 1015 Soldotna AK 99669-1015 |
| Practice Telephone | 9072625324 |
| Practice Fax Number | 9072607464 |
| Mailing Telephone | 9072625324 |
| Mailing Fax Number | 9072607464 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2010-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1091 | AK | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
668 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NP4248 | 05 |
| Street Address |
44539 STERLING HWY SUITE 105 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504634 | Kenai River Counseling | Counselor | 44539 Sterling Hwy, #213, Soldotna, AK 99669-7920 | 2017-05-11 |
| 1841678521 | Amanda Marie Barlow | Counselor | 44539 Sterling Hwy, Soldotna, AK 99669 | 2015-05-13 |
| 1467727925 | Shelley Barker | Case Manager/Care Coordinator | 44539 Sterling Hwy, Suite 206, Soldotna, AK 99669-7938 | 2012-03-16 |
| 1710262761 | Megan L Lacross | Case Manager/Care Coordinator | 44539 Sterling Hwy, Ste.206, Soldotna, AK 99669-7938 | 2011-10-20 |
| 1194031930 | Marcus Weldy | Case Manager/Care Coordinator | 44539 Sterling Hwy, Suite 206, Soldotna, AK 99669-7938 | 2010-08-30 |
| 1750527206 | Amy Cooper | Counselor | 44539 Sterling Hwy, Suite 204, Soldotna, AK 99669-7920 | 2009-01-05 |
| 1447415419 | Priscilla P Aster | Case Manager/Care Coordinator | 44539 Sterling Hwy, Suite 206, Soldotna, AK 99669-7938 | 2008-07-18 |
| 1467648592 | Linda Kay Price-albers | Registered Nurse | 44539 Sterling Hwy, Blazy Soldotna Mall Suite 213, Soldotna, AK 99669-7938 | 2007-09-21 |
| 1588798334 | Job Ready, Inc. | Case Management | 44539 Sterling Hwy, Suite 206, Soldotna, AK 99669-7938 | 2007-03-15 |
| 1568596070 | Job Ready, Inc. | Day Training, Developmentally Disabled Services | 44539 Sterling Hwy, Suite 206, Soldotna, AK 99669-7938 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810433 | Chad Andrews | Nurse Practitioner | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2020-01-09 |
| 1770090060 | Nicole Marie See | Nurse Practitioner | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2018-01-08 |
| 1063835627 | Barbara Ransom | Nurse Practitioner | 230 E Marydale Ave, Suite 2, Soldotna, AK 99669-7648 | 2014-01-31 |
| 1205146941 | Michael Joseph Perry | Nurse Practitioner | 230 E Marydale Ave, Suite 2, Soldotna, AK 99669-7648 | 2010-10-15 |
| 1700984614 | Peninsula Community Health Services of Alaska, Inc. | Nurse Practitioner | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062903 | Eagle River Behavioral Health, LLC | Nurse Practitioner | 13125 Curry Ridge Cir, Eagle River, AK 99577-6730 | 2020-04-23 |
| 1760017123 | Sara Rottman | Nurse Practitioner | 2210 Sentry Dr Apt 14, Anchorage, AK 99507-5353 | 2020-03-05 |
| 1104464460 | David Ampong | Nurse Practitioner | 1577 C St Ste 204, Anchorage, AK 99501-5164 | 2019-12-18 |
| 1316597412 | Jennifer Byers Anp LLC | Nurse Practitioner | 1689 S Knik Goose Bay Rd Ste 700, Wasilla, AK 99654-8088 | 2019-09-19 |
| 1538720404 | Deanna Mae Casiano | Nurse Practitioner | 14460 E Pace Dr, Palmer, AK 99645-9964 | 2019-06-21 |
| 1154897429 | Kristerra Nicole Yawea | Nurse Practitioner | 2440 E Tudor Rd # 384, Anchorage, AK 99507-1185 | 2018-10-15 |
| 1982187399 | Sara A Lindsoe | Nurse Practitioner | 8136 White Dr, Anchorage, AK 99507-6046 | 2018-09-11 |
| 1245753656 | Richard Crisostomo | Nurse Practitioner | 3505 E Meridian Park Loop Ste 200, Wasilla, AK 99654-7242 | 2017-07-18 |
| 1609326594 | Virginia Walker | Nurse Practitioner | 3211 Providence Drive Rh Ste 116, University of Alaska Anchorage Student Health & Councel, Anchorage, AK 99508 | 2016-10-04 |
| 1922553726 | Adriana Maria Hernandez | Nurse Practitioner | 2405 S Knik Goose Bay Rd, Ste A, Wasilla, AK 99654-9965 | 2016-08-22 |
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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.