DEREK KEENER (NPI# 1427602028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427602028 |
| Entity Type | Individual |
| Full Name | DEREK KEENER |
| Practice Address |
1650 Bragaw St Anchorage AK 99508-3435 |
| Practice Telephone | 9074337363 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 226000000X | Recreational Therapist Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1650 BRAGAW ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841364957 | Frontlline Residential Treatment Center LLC | Psychiatric Residential Treatment Facility | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2006-11-20 |
| 1851938328 | Frontline Hospital LLC | Community/Behavioral Health | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-12-04 |
| 1669027884 | Robert Oconnor | Counselor | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-08-05 |
| 1235784786 | Wesley Ann Rivera | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-08-01 |
| 1952956427 | Jon Droska | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-08-01 |
| 1508411075 | Bryan Brandenburg | Counselor | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-08-01 |
| 1972157477 | Jannette M Johnson | Behavior Technician | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-08-01 |
| 1598319295 | Tracie Robertson | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-07-31 |
| 1376197061 | Carmen Botros Rizkalla | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-07-31 |
| 1184278897 | Dallas Alberthal | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-07-31 |
| 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 | 226000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreational Therapist Assistant |
| Recreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnesses. Recreational Therapist Assistants work in a variety of settings providing treatments using recreational activities, including games, sports, and crafts. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972157550 | Samantha Storey | Recreational Therapist Assistant | 1650 S. Bragaw St, Anchorage, AK 99508-3435 | 2019-07-31 |
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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.