JESSICA DIANE CRISP


Address: 670 West Fireweed Lane, Suite 160, Anchorage, AK 99503
Phone: 9077700862

JESSICA DIANE CRISP (NPI# 1528510344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528510344
Entity Type Individual
Full Name JESSICA DIANE CRISP
Credential LPN
Practice Address 670 West Fireweed Lane
Suite 160
Anchorage
AK 99503
Practice Telephone 9077700862
Mailing Telephone 9077700862
Enumeration Date 2016-10-27
Last Update Date 2016-10-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 6346 AK Nursing Service Providers

Office Location

Street Address 670 WEST FIREWEED LANE
SUITE 160
City ANCHORAGE
State AK
Zip Code 99503

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1164020772 Miladis Mcduffie Massage Therapist 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 2020-10-15
1447804984 Bethany Lynn Becker Optometrist 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 2019-08-01
1265084933 Carr-gottstein Foods Co Durable Medical Equipment & Medical Supplies 2920 Seward Hwy, Anchorage, AK 99503 2019-07-12
1982268942 Rukiyia Smith Behavior Technician 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 2019-04-25
1245894310 Mary Kathleen Tate Specialist/Technologist 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 2019-04-24
1194295766 Kimberly Sue Trent Registered Nurse 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 2018-11-27
1659869089 Alaska Spine & Pain Center, LLC Chiropractor 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 2018-05-01
1235643123 Rosanne Louise Klouda Massage Therapist 213 Fireweed Ln, Anchorage, AK 99503 2017-11-30
1801309042 Online Care Group Alaska General Practice 200 W. 34th Ave, Anchorage, AK 99503 2017-11-09
1548773849 Leslie K Michalski Massage Therapist 510 W Tudor Rd Ste 9, Anchorage, AK 99503 2017-11-08
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336706662 Cynthia Malina Franco Licensed Practical Nurse 670 W Fireweed Ln Ste 106, Anchorage, AK 99503-2562 2019-05-22
1306364237 Kenya Renay Hurd Licensed Practical Nurse 670 W Fireweed Ln Ste 120, Anchorage, AK 99503-2562 2017-08-30
1154857431 Emily Nicole Henry Licensed Practical Nurse 5500 E 38th Ct Apt 2, Anchorage, AK 99504-4330 2017-05-05
1275068504 Timothy Shawn Hicks-glover Jr. Licensed Practical Nurse 4003 Minnesota Dr Apt 19, Anchorage, AK 99503-6453 2017-04-24
1619408770 Ashley Long Licensed Practical Nurse 3705 Arctic Blvd # 2237, Anchorage, AK 99503-5774 2017-03-21
1508307158 Eileen Lloyd Licensed Practical Nurse 218 Skwentna Dr, Anchorage, AK 99504-4886 2017-03-15
1124566757 Jennifer Rose Bullard Licensed Practical Nurse 8429 Heather Cir, Anchorage, AK 99502-3906 2017-02-02
1386187771 Dorinda Charbonneau Licensed Practical Nurse 11041 Lake Otis Pkwy, Anchorage, AK 99516-1314 2016-12-02
1891144820 Ryan Hartvigson Licensed Practical Nurse 1200 Columbine Ct Apt 72, Anchorage, AK 99508-2020 2016-06-09
1538523352 Martha Tasiana Ellen Nelson Licensed Practical Nurse 3533 W 79th Ave, Anchorage, AK 99502-4310 2016-04-07
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Competitor

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City ANCHORAGE
Zip Code 99503

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Dataset Information

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.

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