KATHLEEN J COCKRELL (NPI# 1508095860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508095860 |
| Entity Type | Individual |
| Full Name | KATHLEEN J COCKRELL |
| Practice Address |
201 E Swanson Ave Ste 13 Wasilla AK 99654-7054 |
| Practice Telephone | 9073761922 |
| Mailing Telephone | 9073761922 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
201 E SWANSON AVE STE 13 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275783409 | Summer O'shea Hutchins | Case Manager/Care Coordinator | 201 E Swanson Ave Ste 13, Wasilla, AK 99654 | 2008-09-24 |
| 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 | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770058414 | Elizabeth Winans | Adult Companion | 1363 W Spruce Ave, Wasilla, AK 99654-5327 | 2018-10-09 |
| 1215419197 | Best Life Now Ltd | Adult Companion | 300 W Swanson Ave, Wasilla, AK 99654-6844 | 2018-09-06 |
| 1225261936 | Angela Rene Henry | Adult Companion | 201 E Swanson Ave, #13, Wasilla, AK 99654-7054 | 2009-08-27 |
| 1548499809 | Steven James Hickok | Adult Companion | 201 E Swanson Ave, Ste. 13, Wasilla, AK 99654-7054 | 2009-07-08 |
| 1003045378 | Sara Ann Fulton | Adult Companion | 201 E Swanson Ave, Ste 13, Wasilla, AK 99654-7054 | 2009-07-08 |
| 1841429024 | Steve C Kierstead | Adult Companion | 201 E Swanson Ave, Ste13, Wasilla, AK 99654-7054 | 2009-07-08 |
| 1467681643 | Helen Aumavae | Adult Companion | 201 E Swanson Ave, Ste 13, Wasilla, AK 99654-7054 | 2009-07-08 |
| 1871722140 | Peter E Garcia Jr. | Adult Companion | 201 E Swanson Ave, Ste 13, Wasilla, AK 99654-7054 | 2009-07-08 |
| 1528297876 | Linda J Rutherford | Adult Companion | 201 E Swanson Ave, 13, Wasilla, AK 99654-7054 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114499837 | Severson LLC | Adult Companion | 8531 Little Dipper Ave, Anchorage, AK 99504-4238 | 2018-12-19 |
| 1659726107 | Dawn Austerman | Adult Companion | 1912 Mill Bay Rd Lot 4, Kodiak, AK 99615-6673 | 2016-05-03 |
| 1760734198 | Zakaria Abukar Hassan | Adult Companion | 1327 W 27th Ave Apt 11, Anchorage, AK 99503-2362 | 2012-10-09 |
| 1386270064 | Sheralyn Williams | Adult Companion | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2020-03-13 |
| 1811469539 | Todd Lee Severson | Adult Companion | 8531 Little Dipper Ave, Anchorage, AK 99504-4238 | 2018-12-19 |
| 1750642377 | Corazon B Casallo | Adult Companion | 1756 S Heather Meadows Loop, Anchorage, AK 99507-3864 | 2012-05-30 |
| 1346430642 | Olga Phillips | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-08-01 |
| 1689876773 | Jennifer Henry | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2007-06-01 |
| 1003023102 | May Prunes | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2007-05-17 |
| 1417161092 | Julia B. Andrew | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-10 |
| 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.