MRS. KELLY ANN EGGLESTON (NPI# 1407007172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407007172 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANN EGGLESTON |
| Credential | MS |
| Practice Address |
174 W Spruce Ave Wasilla AK 99654-5400 |
| Practice Telephone | 9073767233 |
| Practice Fax Number | 9073570286 |
| Mailing Telephone | 9073767233 |
| Mailing Fax Number | 9073570286 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295045508 | Kelly Eggleston | Case Manager/Care Coordinator | 764 Adventure Road, Fairbanks, AK 99712 | 2010-10-20 |
| Street Address |
174 W SPRUCE AVE |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831213354 | Alaska Family Services | Counselor | 174 W Spruce Ave, Wasilla, AK 99654-5400 | 2007-03-19 |
| 1235558388 | Caring Hands Assisted Living Home | Assisted Living Facility | 174 W Spruce Ave, Wasilla, AK 99654-5400 | 2014-04-15 |
| 1831326313 | Elisa V Winchester | Assisted Living Facility | 174 W Spruce Ave, Wasilla, AK 99654-5400 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583838 | Jennifer Clare Lewis | Counselor | 291 E Swanson Ave Ste 100, Wasilla, AK 99654-7004 | 2020-09-22 |
| 1417575093 | Rhonda Mueller | Counselor | 200 N Meadow Lakes Loop, Wasilla, AK 99623-9855 | 2020-07-09 |
| 1861035776 | Heather Lyn Hunziker | Counselor | 2521 E Mountain Village Dr, Wasilla, AK 99654-7373 | 2019-10-23 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1558806604 | Brandy Stevens | Counselor | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2016-12-28 |
| 1992199723 | Christopher Sharpe | Counselor | 1075 S Check St Ste 105, Wasilla, AK 99654-8067 | 2015-03-18 |
| 1942635149 | Kenneth Bryan Mcinnis | Counselor | 851 E Westpoint Dr Ste 302, Wasilla, AK 99654 | 2013-09-06 |
| 1427314509 | Stacey D Brown | Counselor | 901 N Leatherleaf Loop Ste 103, Wasilla, AK 99654-6576 | 2012-04-03 |
| 1851545396 | John Robert Wallis | Counselor | 3901 E Bogard Rd, Wasilla, AK 99654-6068 | 2008-11-11 |
| 1366694986 | Cheryl Vanessa Puryear | Counselor | 5851 E Mayflower Ct, Wasilla, AK 99654-7881 | 2008-10-14 |
| Find all providers in WASILLA | ||||
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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.