DR. ERICA COADY (NPI# 1366759003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366759003 |
| Entity Type | Individual |
| Full Name | DR. ERICA COADY |
| Credential | PH.D. |
| Practice Address |
3760 Piper St Ste 1108 Anchorage AK 99508-4683 |
| Mailing Address |
Po Box 4105 Portland OR 97208-4105 |
| Practice Telephone | 9072126900 |
| Practice Fax Number | 9072126936 |
| Mailing Telephone | 8669071068 |
| Mailing Fax Number | 4259179141 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 625 | AK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1575729 | 05 |
| Street Address |
3760 PIPER ST STE 1108 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992712442 | Heather Ellison Brock | Nurse Practitioner | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2006-08-01 |
| 1336764836 | Providence Health & Services - Washington | Psychologist | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2020-06-10 |
| 1235771593 | Crystal S Harris | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2019-10-08 |
| 1477102705 | Susan Ratcliffe | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2019-09-09 |
| 1376192070 | Theresa Rutchka | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2019-09-05 |
| 1194373464 | Phyllis Rose | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2019-08-29 |
| 1376061788 | Diana Belen Waddell | Social Worker | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2017-09-06 |
| 1699228247 | Christopher Isaac Cox | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2016-08-01 |
| 1477934636 | Matthew Mark Huckabee | Psychiatry & Neurology | 3760 Piper St Ste 1108, Anchorage, AK 99508 | 2015-06-14 |
| 1467839183 | Nathaniel J Bell | Psychiatry & Neurology | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2015-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245542448 | Kara Stocker | Clinical Neuropsychologist | 707 A St Ste 115, Anchorage, AK 99501-3600 | 2010-07-06 |
| 1962526517 | Keith A. Youngblood | Clinical Neuropsychologist | 7331 Clairborne Dr, Anchorage, AK 99502-7119 | 2007-03-19 |
| 1477685246 | Paul L Craig | Clinical Neuropsychologist | 4048 Laurel St Ste 102, Anchorage, AK 99508-5389 | 2007-03-09 |
| 1326095837 | Russell S Cherry | Clinical Neuropsychologist | 4241 B St, Suite 202, Anchorage, AK 99503-5920 | 2006-05-28 |
| 1700865029 | Kristi H Fuller | Clinical Neuropsychologist | 2600 Denali St, Suite 450, Anchorage, AK 99503-2746 | 2006-01-13 |
| 1215587001 | Psychological Services Group, LLC | Clinical Neuropsychologist | 707 A St Ste 115, Anchorage, AK 99501-3600 | 2019-09-13 |
| 1902303563 | Psychological Services Group, LLC | Clinical Neuropsychologist | 707 A St Ste 115, Anchorage, AK 99501-3600 | 2018-04-10 |
| 1235570979 | Sandra M Mitchell | Clinical Neuropsychologist | 1100 E Dimond Blvd, Anchorage, AK 99515-2010 | 2013-07-10 |
| 1659689222 | Alaska Neuro Associates, LLC | Clinical Neuropsychologist | 4241 B St, Suite 202, Anchorage, AK 99503-5920 | 2010-09-17 |
| 1578572947 | Richard Daniel Fuller | Clinical Neuropsychologist | 2600 Denali St, Suite 450, Anchorage, AK 99503-2746 | 2006-08-05 |
| Find all providers in ANCHORAGE | ||||
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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.