LESLIE TENNISON (NPI# 1457912867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457912867 |
| Entity Type | Individual |
| Full Name | LESLIE TENNISON |
| Practice Address |
4330 Elmore Rd Anchorage AK 99508-5907 |
| Practice Telephone | 9077296690 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
114716 | AK | Nursing Service Providers |
| Street Address |
4330 ELMORE RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033226063 | Katherine L Schneider | Physician Assistant | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2006-08-24 |
| 1972112365 | Kristoffer Allen Portugaleza Auza | Registered Nurse | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2020-07-30 |
| 1295379162 | Heather James | Technician, Other | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-11-04 |
| 1255973855 | Beth Susan Juarez | Registered Nurse | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-10-15 |
| 1508408386 | Taylor Chong | Registered Nurse | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-10-13 |
| 1447892328 | Chantal Wolsfeld | Licensed Practical Nurse | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-10-12 |
| 1669014965 | Loralisa Christine Summerhays | Registered Nurse | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-10-09 |
| 1184265662 | Teresa Montgomery | Registered Nurse | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-10-04 |
| 1750934188 | Southcentral Foundation | Community/Behavioral Health | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-07-24 |
| 1760044838 | Alexis Banda | Social Worker | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-06-28 |
| 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 | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408386 | Taylor Chong | Registered Nurse | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-10-13 |
| 1598319261 | Robert Frederick Jasmer | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-07-30 |
| 1073174298 | Mary Ellen Degange | Registered Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1134780356 | Shantay Brown | Registered Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1881255008 | Sandra Brown | Registered Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1891356358 | Katherine Maria Bockstiegel | Registered Nurse | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770135717 | Alysia Norum | Registered Nurse | 650 Yonker Ct, Fairbanks, AK 99701-7586 | 2019-07-10 |
| 1417401183 | Shana Edwin | Registered Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2016-08-10 |
| 1962040386 | Jonathan Whiting | Registered Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-12-16 |
| 1104476159 | Mary Ellen Neary | Registered Nurse | 3250 Hospital Dr, Juneau, AK 99801-7808 | 2019-09-11 |
| 1760035059 | Jangmoo Sherpa | Registered Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-07-17 |
| 1184276123 | Cynthia Lu Belle Kelley | Registered Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-07-10 |
| 1679125603 | Jody Tate | Registered Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-07-10 |
| 1013579317 | Camille Machea Johnson | Registered Nurse | 2521 E Mountain Village Dr Ste F, Wasilla, AK 99654-7373 | 2019-07-08 |
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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.