MRS. KATHERINE LEE PARKS (NPI# 1568914695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568914695 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE LEE PARKS |
| Credential | CDM |
| Practice Address |
2054 30th Ave Fairbanks AK 99701-7316 |
| Practice Telephone | 9074563719 |
| Practice Fax Number | 9074561511 |
| Mailing Telephone | 9074563719 |
| Mailing Fax Number | 9074561511 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 115451 | AK | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881151769 | Katherine Amanda Parks | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2019-02-27 |
| 1700317385 | Katherine Elizabeth Parks | Counselor | 2912 Little Rd, Arlington, TX 76016-1725 | 2017-03-24 |
| 1629236302 | Katherine Decker Parks | Nurse Practitioner | 500 Helendale Rd, Suite 100, Rochester, NY 14609-3173 | 2008-05-29 |
| Street Address |
2054 30TH AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-7316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568595650 | Dana Louise Brown | Midwife | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2007-03-14 |
| 1770956914 | Amanda Penwell | Midwife | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2015-11-10 |
| 1740661677 | Erin Elizabeth Keiper | Nurse Practitioner | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2015-06-16 |
| 1477958536 | Sherry Lynne Wolf | Nurse Practitioner | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2014-10-30 |
| 1306260443 | Julie Moon | Advanced Practice Midwife | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2014-02-10 |
| 1952572927 | Via Vita Health Project, Inc. | Clinic/Center | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2008-03-18 |
| 1174792618 | Joy Keller | Midwife | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2008-02-28 |
| 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 | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468505 | Arctic Midwives, LLC | Midwife | 728 Gaffney Rd Ste 100, Fairbanks, AK 99701-4658 | 2009-12-16 |
| 1568595650 | Dana Louise Brown | Midwife | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2007-03-14 |
| 1770956914 | Amanda Penwell | Midwife | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2015-11-10 |
| 1578952586 | Two Bear Midwifery Service, LLC | Midwife | 3550 Airport Way, Ste. 4, Fairbanks, AK 99709-4772 | 2015-01-14 |
| 1255647343 | Cori Elizabeth Hompesch | Midwife | 728 Gaffney Rd Ste 100, Fairbanks, AK 99701-4658 | 2010-08-26 |
| 1174792618 | Joy Keller | Midwife | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2008-02-28 |
| 1497888572 | Vanessa Rachel Jackson | Midwife | 728 Gaffney Rd, Suite 100, Fairbanks, AK 99701-4610 | 2007-03-14 |
| 1639200611 | Cheryl Ann Corrick | Midwife | 728 Gaffney Rd, Suite 100, Fairbanks, AK 99701-4610 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061244 | Valor Midwifery Services | Midwife | 7060 E Wolf Lake Dr, Wasilla, AK 99654-9319 | 2020-04-10 |
| 1083275671 | Susan Karleen Fisk | Midwife | 855 Sand Dollar Dr, Kenai, AK 99611-8818 | 2019-06-24 |
| 1417422510 | Rachel Ann Pugh | Midwife | 2028 E Northern Lights Blvd Ste 201, Anchorage, AK 99508-4150 | 2018-10-04 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1386133023 | Jessica Lee Rockhill Johnston | Midwife | 4154 Kingston Dr, Anchorage, AK 99504-4441 | 2018-05-08 |
| 1497251789 | Haven Midwifery and Birth Center | Midwife | 4050 Lake Otis Pkwy Ste 211, Anchorage, AK 99508-5221 | 2018-04-04 |
| 1083072060 | Mountain Sea Midwifery and Wellness | Midwife | 53254 Merimac, Fritz Creek, AK 99603-6024 | 2016-02-04 |
| 1376918912 | Stormy Antonovich | Midwife | 10100 Betula Dr, Anchorage, AK 99507-4141 | 2015-12-08 |
| 1518357920 | Juniper Jeanine Lanmon-freeman | Midwife | 26495 Vincent Street, Kasilof, AK 99610 | 2015-01-23 |
| 1255686994 | The Birth Place | Midwife | 5805 E. Columbus Way, Wasilla, AK 99654-7831 | 2012-07-18 |
| 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.