KENDRA DRISDOM (NPI# 1336558303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336558303 |
| Entity Type | Individual |
| Full Name | KENDRA DRISDOM |
| Practice Address |
20435 Granite Park Cir Eagle River AK 99577-8852 |
| Mailing Address |
5981 Halibut Ct Unit A Jber AK 99506-3620 |
| Practice Telephone | 9077441154 |
| Mailing Telephone | 9077829284 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 112573 | AK | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 7099 | AK | Nursing Service Providers |
| Street Address |
20435 GRANITE PARK CIR |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-8852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267930 | Angela C Clark | Registered Nurse | 18548 S Kanaga Loop, Eagle River, AK 99577-8675 | 2020-02-20 |
| 1902345184 | Rachael Doyle | Registered Nurse | 16650 River Heights Loop, Eagle River, AK 99577-8084 | 2017-02-21 |
| 1346612595 | Tameka Turner | Registered Nurse | 20544 Icefall Dr, Eagle River, AK 99577-8860 | 2015-10-28 |
| 1477924660 | Taya Peterson | Registered Nurse | 19023 Trail Bay Dr, Eagle River, AK 99577-8590 | 2015-10-13 |
| 1730559287 | Melissa Marie Gosda | Registered Nurse | 4405 White Pine Loop, Eagle River, WI 54521-8461 | 2015-09-28 |
| 1720463052 | Juliane Delozier | Registered Nurse | 18138 Harbor Point Loop, Eagle River, AK 99577-8534 | 2015-07-28 |
| 1508243890 | Anna Thomas | Registered Nurse | 20375 Icefall Dr, Eagle River, AK 99577-8874 | 2015-05-06 |
| 1982021747 | Lindsey Mcdonald | Registered Nurse | 18741 Monastery Dr, Eagle River, AK 99577-9248 | 2014-03-18 |
| 1700209178 | Susan Mcdonald | Registered Nurse | 9716 E Chichagof Loop, Eagle River, AK 99577-8650 | 2014-01-21 |
| 1750711685 | Rachel Fontano | Registered Nurse | 18902 N Chichagof Loop, Eagle River, AK 99577-8652 | 2013-11-13 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
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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.