MRS. DONNA M PATRICK (NPI# 1457490328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457490328 |
Entity Type | Individual |
Full Name | MRS. DONNA M PATRICK |
Credential | ANP |
Practice Address |
612 N. Chandalar Fairbanks AK 99775-5580 |
Mailing Address |
Po Box 755580 Fairbanks AK 99775-5580 |
Practice Telephone | 9074747043 |
Practice Fax Number | 9074745777 |
Mailing Telephone | 9074747043 |
Mailing Fax Number | 9074745777 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
705 | AK | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851575195 | Donna Patrick | Developmental Therapist | Criterion Child Enrichment,inc, 345 Fortune Blvd, Milford, MA 01757 | 2007-12-21 |
1851648158 | Donna Patrick | Home Health Aide | 821 Kennedy St Nw, Washington, DC 20011-2913 | 2012-08-07 |
1952564478 | Donna Lee Patrick | Clinical Nurse Specialist | 801 E Florida Ave, Midland, TX 79701-8212 | 2008-07-03 |
1457534299 | Donna J Patrick | Physical Therapist | 5 Rolling Mdws, Scott Depot, WV 25560-8805 | 2007-12-16 |
1538188545 | Donna Elaine Patrick | Chiropractor | 415 Ne 25th Ave, Ocala, FL 34470-7037 | 2006-07-19 |
Street Address |
612 N. CHANDALAR |
City | FAIRBANKS |
State | AK |
Zip Code | 99775-5580 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871001719 | Brown Bear Behavioral Consulting | Behavioral Analyst | 1806 Colville Street #6, Fairbanks, AK 99775-0001 | 2018-01-12 |
1942765052 | Jamie Marie Bourque | Nurse Practitioner | 1788 Yukon Drive, Fairbanks, AK 99775-5580 | 2019-02-02 |
1528105400 | Betty Jane Aldrich | Family Medicine | 612 N. Chandalar Dr., Fairbanks, AK 99775-5580 | 2007-01-31 |
1841337334 | Nancy Prudence Bayer | Nurse Practitioner | 612 North Chandalar Ave, Fairbanks, AK 99775-5580 | 2007-01-31 |
1043358062 | University of Alaska Fairbanks Center for Health & Counseling | Clinic/Center | 612 N. Chandalar Dr., Fairbanks, AK 99775-5580 | 2007-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184225781 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 44 College Rd Ste B, Fairbanks, AK 99701-1706 | 2020-11-02 |
1073113874 | Harmony Speech and Language Therapy | Speech-Language Pathologist | 3891 Ridgeview Dr, Fairbanks, AK 99709-2717 | 2020-10-30 |
1356949622 | Adam Weis | Student in an Organized Health Care Education/Training Program | 3112 Airport Way Ste 1, Fairbanks, AK 99709-4768 | 2020-10-09 |
1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
1104439512 | Maggie Wright Slp, LLC | Speech-Language Pathologist | 1222 Well St Unit 8/9, Fairbanks, AK 99701-2881 | 2020-08-25 |
1790397461 | Hannah S Ross | Massage Therapist | 776 Bullion Dr, Fairbanks, AK 99712-2035 | 2020-08-23 |
1104438365 | Jalon Alexander Mccullough | Counselor | 542 4th Ave Ste B-101, Fairbanks, AK 99701-4707 | 2020-08-19 |
1134739485 | Alcan Medical Group LLC | 751 Old Richardson Hwy Ste 203, Fairbanks, AK 99701-7805 | 2020-08-02 | |
1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
Find all providers in FAIRBANKS |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710535380 | Peter Harvey | Nurse Practitioner | 755 Knightsbridge Rd, Fairbanks, AK 99709-2477 | 2019-08-27 |
1942765052 | Jamie Marie Bourque | Nurse Practitioner | 1788 Yukon Drive, Fairbanks, AK 99775-5580 | 2019-02-02 |
1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
1134667165 | Lauren Westrom | Nurse Practitioner | 1587 Drouin Rd, Fairbanks, AK 99709-5953 | 2017-02-10 |
1811356330 | Joseph Grimes | Nurse Practitioner | 132 Foran Cir, Fairbanks, AK 99712-2404 | 2016-02-11 |
1922482330 | Anna Fath | Nurse Practitioner | 5165 Palo Verde Ave, Fairbanks, AK 99709-3130 | 2015-07-15 |
1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
1841337334 | Nancy Prudence Bayer | Nurse Practitioner | 612 North Chandalar Ave, Fairbanks, AK 99775-5580 | 2007-01-31 |
1295769859 | Victoria Anne Wallace | Nurse Practitioner | 1931 Eagan Ave, Fairbanks Correctional Center, Fairbanks, AK 99701-5703 | 2006-07-10 |
1043243470 | Anne Marie Lilley | Nurse Practitioner | 1275 Sadler Way, #101, Fairbanks, AK 99701-3171 | 2006-07-09 |
Find all providers in FAIRBANKS |
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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.