SUSAN ANNETTE MCLANE (NPI# 1487121059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487121059 |
| Entity Type | Individual |
| Full Name | SUSAN ANNETTE MCLANE |
| Practice Address |
3101 Lathrop St Fairbanks AK 99701-7426 |
| Practice Telephone | 9074594785 |
| Practice Fax Number | 9074594786 |
| Mailing Telephone | 9074594785 |
| Mailing Fax Number | 9074594786 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
NURR9654 | AK | Nursing Service Providers |
| Street Address |
3101 LATHROP ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-7426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609088491 | Ted Campbell | Counselor | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2007-05-04 |
| 1164029161 | Amanda Young | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-03 |
| 1699372623 | Iesha Nicole Little-robinson | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-02 |
| 1730786765 | Victor Ramon Pichardo Nunez | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-02 |
| 1467059493 | Alissa Merrily Allen | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-02 |
| 1053918078 | Abigail Scott | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-02 |
| 1326657412 | Eric Enlow | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-07-24 |
| 1659980746 | Alisha Gail | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-07-24 |
| 1467061564 | Anjoli D. Anderson | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-07-24 |
| 1609485796 | Brionna Leigh Yannello | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043524218 | Teresa Ann Brown Lyons | Registered Nurse | 407 5th Ave, Fairbanks, AK 99701 | 2010-07-30 |
| 1134450919 | Camilla Maree Slagle Ringler | Registered Nurse | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2010-01-19 |
| 1235460023 | Stacey Ann Cox | Registered Nurse | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2010-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235784786 | Wesley Ann Rivera | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-08-01 |
| 1548627680 | Kaila Hayes | Registered Nurse | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 | 2016-01-20 |
Please comment or provide details below to improve the information on SUSAN ANNETTE MCLANE.
| 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.