JENNIFER MARIE CARLSON (NPI# 1437618667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437618667 |
Entity Type | Individual |
Full Name | JENNIFER MARIE CARLSON |
Practice Address |
613 S Knik Goose Bay Rd Ste B Wasilla AK 99654-8090 |
Mailing Address |
3561 S Village St Wasilla AK 99623-0344 |
Practice Telephone | 9076313056 |
Mailing Telephone | 9062862998 |
Enumeration Date | 2019-03-18 |
Last Update Date | 2019-03-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
144544 | AK | Speech, Language and Hearing Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3561 S Village St, Wasilla, AK 996230344 | 9062862998 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508307083 | Jennifer Carlson | Community Based Residential Treatment Facility, Mental Illness | 8375 South 700east, Sandy, UT 84070 | 2017-03-16 |
1518386259 | Jennifer Carlson | Social Worker | 601 Shetland Cir, Nokomis, FL 34275-1631 | 2014-04-09 |
1790124279 | Jennifer Leilani Carlson | Doula | 7241 Jillspring Ct, Springfield, VA 22152-3609 | 2013-06-18 |
1124171061 | Jennifer Lee Carlson | Legal Medicine | 4484 Peachtree Rd Ne, Atlanta, GA 30319-2737 | 2007-01-22 |
1710939814 | Jennifer Bergeron Carlson | Pediatrics | 52 Timber Ln, South Burlington, VT 05403-7204 | 2006-05-17 |
1043838774 | Jennifer Marie Carlson | Dentist | 2101 Aspen Dr, Mechanicsburg, PA 17055-5508 | 2020-07-09 |
1194299933 | Jennifer Carlson | Counselor | 1640 Powers Ferry Rd Se, Building 2 Ste 150, Marietta, GA 30067 | 2019-01-15 |
1407349871 | Jennifer Angelique Carlson | Family Medicine | 1123 N Evergreen Rd, Spokane Valley, WA 99216-1138 | 2018-06-11 |
1780107946 | Jennifer Annette Carlson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2017-07-19 |
1386192177 | Jennifer K Carlson | Psychologist | 1920 Briarcliff Rd Ne, Atlanta, GA 30329 | 2016-09-21 |
Street Address |
613 S KNIK GOOSE BAY RD STE B |
City | WASILLA |
State | AK |
Zip Code | 99654-8090 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952897993 | Uriah Zacchaeus Mitchell | Speech-Language Pathologist | 613 S Knik Goose Bay Rd Ste B, Wasilla, AK 99654-8090 | 2018-07-02 |
1114555901 | Sarah Moriarty | Speech-Language Pathologist | 613 S Knik Goose Bay Rd Ste B, Wasilla, AK 99654-8090 | 2020-03-29 |
1346886991 | Elizabeth Whitaker | Speech-Language Pathologist | 613 S Knik Goose Bay Rd Ste B, Wasilla, AK 99654-8090 | 2019-11-19 |
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 | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144609967 | Andrea Lynne Swanson | Specialist/Technologist | 1630 W Riffle St, Wasilla, AK 99654-0910 | 2015-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
1770841090 | Janet Dougherty | Specialist/Technologist | 15815 Noble Point Dr, Anchorage, AK 99516-7552 | 2012-04-24 |
1114208881 | Faith Ridgway | Specialist/Technologist | 2150 E Dowling Rd, Suite C, Anchorage, AK 99507-1980 | 2011-09-07 |
1477844967 | Matthew Abelino Sandoval | Specialist/Technologist | 6340 Newt Dr, Anchorage, AK 99507-2047 | 2011-05-02 |
1154502565 | Lea Dawn Everson | Specialist/Technologist | 982 Lakloey Dr, North Pole, AK 99705-5356 | 2007-11-14 |
1134759723 | Amy Hagen | Specialist/Technologist | 35105 Kenai Spur Hwy Ste A, Soldotna, AK 99669-7658 | 2020-01-22 |
1245886720 | Erin Michelle John | Specialist/Technologist | 1901 N Hemmer Rd Ste 109, Palmer, AK 99645-9690 | 2019-08-12 |
1154891539 | T'essa Lanae Blossom | Specialist/Technologist | 35105 Kenai Spur Hwy Ste A, Soldotna, AK 99669-7658 | 2018-11-28 |
1013499276 | Christal Hays | Specialist/Technologist | 12580 Old Seward Hwy, Anchorage, AK 99515-3506 | 2018-09-04 |
1629557947 | Kari Meyer | Specialist/Technologist | 12580 Old Seward Hwy, Anchorage, AK 99515-3506 | 2018-08-08 |
Find all providers with the same taxonomy |
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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.