DR. KRISTEN ELIZABETH SHALE VINES (NPI# 1124282512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124282512 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN ELIZABETH SHALE VINES |
| Credential | MD |
| Practice Address |
Bassett Army Community Hospital 4076 Neely Road, Bldg 4076, Room 3c-40 Fort Wainwright AK 99703-7440 |
| Mailing Address |
Wramc Bldg 2 Rm 2j38 6900 Georgia Ave Nw Washington DC 20307-0001 |
| Practice Telephone | 9073616028 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25660 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
BASSETT ARMY COMMUNITY HOSPITAL 4076 NEELY ROAD, BLDG 4076, ROOM 3C-40 |
| City | FORT WAINWRIGHT |
| State | AK |
| Zip Code | 99703-7440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447231451 | Erik Lundmark | Psychiatry & Neurology | Bassett Army Community Hospital, 4076 Neely Raod, Fort Wainwright, AK 99703 | 2005-11-07 |
| 1194294124 | Christopher Graham | Pharmacist | Bassett Army Community Hospital, 4076 Neely Rd, Fort Wainwright, AK 99703 | 2018-11-20 |
| 1568973188 | James Patrick Conner | Military Health Care Provider | Bassett Army Community Hospital, 1060 Gaffney Rd # 7440, Fort Wainwright, AK 99703 | 2017-10-23 |
| 1023401338 | Kara Purdy | Emergency Medicine | Bassett Army Community Hospital, 4076 Neely Road, Fort Wainwright, AK 99703 | 2015-03-11 |
| 1205249083 | James Michael Smith | Family Medicine | Bassett Army Community Hospital, 4076 Neely Road, Fort Wainwright, AK 99703-5285 | 2014-06-09 |
| 1790933075 | Lena Marie Fabian | Advanced Practice Midwife | Bassett Army Community Hospital, 4076 Neely Road, Fort Wainwright, AK 99703 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1912134420 | Donald Jermome Kosatka | Psychiatry & Neurology | Building 4066 602nd Street, Bassett Army Community Hospital, Fort Wainwright, AK 99705 | 2009-06-11 |
| 1447231451 | Erik Lundmark | Psychiatry & Neurology | Bassett Army Community Hospital, 4076 Neely Raod, Fort Wainwright, AK 99703 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629611058 | Karen Ni LLC | Psychiatry & Neurology | 104 Center Ave Ste 202, Kodiak, AK 99615-6393 | 2019-10-17 |
| 1942781562 | Anchorage Psychiatry | Psychiatry & Neurology | 1120 Huffman Rd Ste 24, Anchorage, AK 99515-3516 | 2018-08-22 |
| 1114454808 | Tms Center of Alaska LLC | Psychiatry & Neurology | 1981 E Palmer Wasilla Hwy, 230, Wasilla, AK 99654-7289 | 2017-05-12 |
| 1821453937 | Dr, Deborah Guris LLC | Psychiatry & Neurology | 15630 Stanwood Cir, Anchorage, AK 99516-4866 | 2015-12-17 |
| 1932543691 | Cheryl Hodges Md | Psychiatry & Neurology | 1365 E Parks Hwy, Suite 202, Wasilla, AK 99654-8284 | 2013-04-24 |
| 1225378664 | Shirley Ann Saucerman | Psychiatry & Neurology | 336 W 10th Ave, Anchorage, AK 99501-3501 | 2013-02-21 |
| 1336408335 | Melinda M Hansen | Psychiatry & Neurology | 4501 Diplomacy Drive, Southcentral Foundation, Anchorage, AK 99508-0000 | 2012-05-10 |
| 1548420920 | Willow, LLC | Psychiatry & Neurology | 920 E 72nd Ave, Anchorage, AK 99518-2810 | 2008-06-10 |
| 1174796247 | Monique Dase Smith | Psychiatry & Neurology | 1650 Cowles St., Fairbanks, AK 99705 | 2008-04-09 |
| 1992987655 | Jonathan Benaknin | Psychiatry & Neurology | Anchorage Native Primary Care Center, 4320 Diplomacy Drive, Anchorage, AK 99508 | 2007-12-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAINWRIGHT |
| Zip Code | 99703 |
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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.