REBECCA WORTHEN (NPI# 1265875942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265875942 |
| Entity Type | Individual |
| Full Name | REBECCA WORTHEN |
| Credential | SLPA |
| Practice Address |
398 Hamilton Ave Fairbanks AK 99701-3537 |
| Mailing Address |
Po Box 70155 Fairbanks AK 99707-0155 |
| Practice Telephone | 9105834553 |
| Mailing Telephone | 9105834553 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA7147 | AZ | Speech, Language and Hearing Service Providers |
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
33 | AK | Speech, Language and Hearing Service Providers |
| Street Address |
398 HAMILTON AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164573952 | Traci Lynn Roon | Physical Therapist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2007-01-16 |
| 1043864424 | John A Schofield | Speech-Language Pathologist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2019-07-24 |
| 1598227837 | Brynn Noelle Caslavka | Occupational Therapist | 398 Hamilton Ave, Fairbanks, AK 99701 | 2019-04-04 |
| 1336627991 | Lindsey Nicole Cooper | Occupational Therapist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2018-08-04 |
| 1619478682 | Nakea Jackson | Physical Therapy Assistant | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2018-02-26 |
| 1376060376 | Rebecca Schichtel | Physical Therapist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2017-08-29 |
| 1386161388 | Eric Ahrns | Physical Therapist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2017-08-29 |
| 1891212577 | Janette Daniels | Physical Therapy Assistant | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2017-08-24 |
| 1992242101 | Shawna Bailey | Occupational Therapy Assistant | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2017-01-25 |
| 1366984650 | Building Blocks Speech Therapy, LLC | Clinic/Center | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2016-11-17 |
| Find all providers in the same location | ||||
| 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 | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790276335 | Scott Wiser | Specialist/Technologist | 1327 Kalakaket St, Fairbanks, AK 99709-4917 | 2018-05-18 |
| 1760910616 | Bobby Lasalle | Specialist/Technologist | 1327 Kalakaket St, Fairbanks, AK 99709-4917 | 2017-05-23 |
| 1821440462 | Mckenna Wall-dunlap | Specialist/Technologist | 1327 Kalakaket St, Fairbanks, AK 99709-4917 | 2016-07-07 |
| 1386025260 | Marie Stover | Specialist/Technologist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2015-06-16 |
| 1205127313 | Susan Celeste Updegraff | Specialist/Technologist | 1327 Kalakaket St, Fairbanks, AK 99709-4917 | 2011-04-22 |
| 1548594138 | Magan Kathryn Wiggs | Specialist/Technologist | 1327 Kalakaket St, Fairbanks, AK 99709-4917 | 2009-09-29 |
| 1962658617 | Adriel Helen Johnson | Specialist/Technologist | 1327 Kalakaket St, Fairbanks, AK 99709-4917 | 2008-08-13 |
| 1700043056 | Brenda G Mccarley | Specialist/Technologist | 1327 Kalakaket St, Fairbanks, AK 99709-4917 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1144609967 | Andrea Lynne Swanson | Specialist/Technologist | 1630 W Riffle St, Wasilla, AK 99654-0910 | 2015-05-26 |
| 1770841090 | Janet Dougherty | Specialist/Technologist | 15815 Noble Point Dr, Anchorage, AK 99516-7552 | 2012-04-24 |
| 1114208881 | Faith Ridgway | Specialist/Technologist | 2150 E Dowling Rd, Suite C, Anchorage, AK 99507-1980 | 2011-09-07 |
| 1477844967 | Matthew Abelino Sandoval | Specialist/Technologist | 6340 Newt Dr, Anchorage, AK 99507-2047 | 2011-05-02 |
| 1154502565 | Lea Dawn Everson | Specialist/Technologist | 982 Lakloey Dr, North Pole, AK 99705-5356 | 2007-11-14 |
| 1134759723 | Amy Hagen | Specialist/Technologist | 35105 Kenai Spur Hwy Ste A, Soldotna, AK 99669-7658 | 2020-01-22 |
| 1245886720 | Erin Michelle John | Specialist/Technologist | 1901 N Hemmer Rd Ste 109, Palmer, AK 99645-9690 | 2019-08-12 |
| 1437618667 | Jennifer Marie Carlson | Specialist/Technologist | 613 S Knik Goose Bay Rd Ste B, Wasilla, AK 99654-8090 | 2019-03-18 |
| 1154891539 | T'essa Lanae Blossom | Specialist/Technologist | 35105 Kenai Spur Hwy Ste A, Soldotna, AK 99669-7658 | 2018-11-28 |
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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.