MRS. KAREN L MEDBURY (NPI# 1316965957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316965957 |
| Entity Type | Individual |
| Full Name | MRS. KAREN L MEDBURY |
| Credential | MSW, LCSW |
| Practice Address |
2630 Central Ave Suite 1 Eielson Afb AK 99702-2325 |
| Mailing Address |
Po Box 57029 North Pole AK 99705-2029 |
| Practice Telephone | 9073774727 |
| Practice Fax Number | 9073773690 |
| Mailing Telephone | 9073774727 |
| Mailing Fax Number | 9073773690 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801060907 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2630 CENTRAL AVE SUITE 1 |
| City | EIELSON AFB |
| State | AK |
| Zip Code | 99702-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578545109 | Robert Greg Patterson | Family Medicine | 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702-2325 | 2005-11-18 |
| 1689274664 | Bradley Martin | Dental Hygienist | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-10-28 |
| 1891395802 | Kaleb Hatfield | Dental Hygienist | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-10-28 |
| 1346840329 | Stephanie Danielle Rowe | Dental Assistant | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-10-28 |
| 1851991855 | Cody Scott Lemon | Dental Hygienist | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-10-28 |
| 1578189387 | Eric Dylan Mason | Military Health Care Provider | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-06-18 |
| 1912546524 | Susan Liebig | Dental Hygienist | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2019-12-30 |
| 1639724636 | Sandra Muniz | Licensed Practical Nurse | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2019-08-06 |
| 1104393446 | Matthew Gray | Military Health Care Provider | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2018-10-24 |
| 1952885121 | Anthony Ewell-kollmann | Dentist | 2630 Central Ave, Eielson Afb, AK 99702 | 2018-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864904 | Eric Noll | Optometrist | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2013-03-04 |
| 1407125123 | Optical Center | Technician/Technologist | 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 | 2011-12-27 |
| 1063649234 | John Michael Strothenke | Military Health Care Provider | 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 | 2009-06-16 |
| 1225272073 | Landru Derek Medvec | Military Health Care Provider | 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 | 2009-04-23 |
| 1780875617 | Victoria L Ketchum | Specialist | E. Cowles, Fairbanks Memorial Hospital, Fairbanks, AK 99702 | 2007-08-06 |
| 1689768103 | Angie M. Walker | Social Worker | 2630 Central Av, Suite 1m07, Eielson Afb, AK 99702 | 2006-10-02 |
| 1306945464 | 354th Medical Group Mdg | Military/U.S. Coast Guard Pharmacy | Bldg 3349 Central Ave, Eielson Afb, AK 99702 | 2006-09-22 |
| 1760442297 | Susan Mary Runyan | Dietitian, Registered | 354th Medical Group, 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702 | 2006-03-27 |
| 1972166916 | Andrew Joseph Colburn | Registered Nurse | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2019-04-16 |
| 1306375704 | Robert Marshall Walter | Dentist | 2630 Central Ave Bldg 3349, Eielson Afb, AK 99702 | 2017-06-08 |
| Find all providers in zip 99702 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689768103 | Angie M. Walker | Social Worker | 2630 Central Av, Suite 1m07, Eielson Afb, AK 99702 | 2006-10-02 |
| 1366980260 | Michelle Marie Ely | Social Worker | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2017-02-10 |
| 1710214382 | Stacey R. Schmitt | Social Worker | 2630 Central Ave, Mental Health Clinic and Family Advocacy Program, Eielson Afb, AK 99702-2301 | 2009-11-03 |
| 1275502312 | Jolanda Jeanette Cook | Social Worker | 2630 Central Ave, Eielson Afb, AK 99702-2325 | 2006-03-14 |
| 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 |
| 1639796261 | Kacia Zuill | Social Worker | 981 N Tina Ln, Palmer, AK 99645-8953 | 2020-06-30 |
| 1801426515 | Leigh Ann White | Social Worker | 1 800 C-k Hwy, Suite #241, Craig, AK 99921 | 2020-01-22 |
| 1205473667 | Kathleen Frost | Social Worker | 2255 Slate Ct, North Pole, AK 99705-7593 | 2019-12-04 |
| 1760029391 | Nancy Lockwood | Social Worker | 731 E 8th Ave, Anchorage, AK 99501-3772 | 2019-12-02 |
| 1134763378 | Idris Usman | Social Worker | 786 D St., Jber-richardson, AK 99505 | 2019-10-31 |
| 1487298873 | Dan Bigley | Social Worker | 8531 Craiger Ct, Anchorage, AK 99507-3640 | 2019-10-29 |
| 1093356339 | Jordan Williams | Social Worker | 1503 Liatris Ln, North Pole, AK 99705-5082 | 2019-10-07 |
| 1851949630 | Elizabeth Green | Social Worker | 743 9th Ave, Fairbanks, AK 99701-4406 | 2019-08-26 |
| 1801443593 | Midnight Sun Counseling and Consulting, LLC | Social Worker | 9000 Glacier Hwy Ste 305, Juneau, AK 99801-8097 | 2019-08-19 |
| Find all providers with the same taxonomy | ||||
| City | EIELSON AFB |
| Zip Code | 99702 |
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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.