DR. THERESA STACY KEARNS (NPI# 1669601514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669601514 |
| Entity Type | Individual |
| Full Name | DR. THERESA STACY KEARNS |
| Other Name | DR. THERESA STACY KEARNS-COOPER |
| Credential | PSY. D. |
| Practice Address |
6000 Kanakanak Road Dillingham AK 99576 |
| Mailing Address |
6000 Kanakanak Road Po Box 130 Dillingham AK 99576 |
| Practice Telephone | 9078421230 |
| Practice Fax Number | 9078425174 |
| Mailing Telephone | 9078421230 |
| Mailing Fax Number | 9078425174 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
00000LICENSE ELI | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497937353 | Theresa Kearns | Registered Nurse | 8403 263rd St, Apt. 1, Floral Park, NY 11001-1103 | 2007-12-03 |
| Street Address |
6000 KANAKANAK ROAD |
| City | DILLINGHAM |
| State | AK |
| Zip Code | 99576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740271741 | Jacqueline Elizabeth Chase | Dietitian, Registered | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2005-10-31 |
| 1306475140 | Nellie Alakayak | Community Health Worker | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2020-04-03 |
| 1336701663 | Alisha Marie Folsom | Registered Nurse | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2019-07-08 |
| 1154983484 | Starla Fox | Registered Nurse | 6000 Kanakanak Road, Dillingham, AK 99576 | 2019-07-08 |
| 1922534098 | Acacia Walton | Specialist | 6000 Kanakanak Road, Dillingham, AK 99576 | 2017-05-10 |
| 1477091791 | Kathleen Sando | Case Manager/Care Coordinator | 6000 Kanakanak Road, Dillingham, AK 99576 | 2017-02-07 |
| 1225491160 | Candace Summer Watts | Family Medicine | 6000 Kanakanak Road, Bbahc, Dillingham, AK 99576 | 2016-03-29 |
| 1588025738 | Carolyn Carlos | Community Health Worker | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2016-03-16 |
| 1508259383 | Leigh Ann Bolin | Social Worker | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2015-03-18 |
| 1811388820 | Jennifer Bennis | Case Manager/Care Coordinator | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2015-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016737 | Lake Road Dental LLC | Clinic/Center | 4622 Shannon Lake Rd, Dillingham, AK 99576 | 2018-06-08 |
| 1053837823 | Guardian Flight LLC | Ambulance | Beluga Bluffs Apt Block 26, Lot 5 Apt. 5 & 6, Dillingham, AK 99576 | 2017-08-14 |
| 1467820910 | Alicia Mahlow | Case Manager/Care Coordinator | 540 Gauthier Way, Dillingham, AK 99576 | 2015-09-14 |
| 1306100557 | Peter Tallman | Social Worker | 6000 Kanakanak, Dillingham, AK 99576 | 2012-07-02 |
| 1801079546 | Marrulut Eniit Assisted Living, Inc | Respite Care | 125 D Street, Dillingham, AK 99576 | 2007-12-17 |
| 1730393430 | City of Dillingham | Ambulance | 514 Main Street, Dillingham, AK 99576 | 2007-05-10 |
| 1023132792 | City of Dillingham Senior Center | Non-emergency Medical Transport (VAN) | 515 East 1st Ave, Dillingham, AK 99576 | 2007-03-19 |
| 1912037037 | Hope Community Resources Inc | Day Training, Developmentally Disabled Services | Chog Center Main Street, Dillingham, AK 99576 | 2007-03-07 |
| 1427119874 | Bristol Bay Area Health Corporation | Clinic/Center | Main Steet, Portage Creek, AK 99576 | 2006-12-12 |
| 1396728614 | Joan Lucienne Junge | Nurse Practitioner | 1500 Kanakanak Rd, Dillingham, AK 99576 | 2005-11-21 |
| Find all providers in zip 99576 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659911766 | Matthew James Vogler | Psychologist | 3340 Providence Dr Ste 565, Anchorage, AK 99508-4643 | 2020-01-07 |
| 1538640537 | Rachel Suzanne Woods | Psychologist | 2600 Denali St Ste 450, Anchorage, AK 99503-2754 | 2018-08-27 |
| 1003304346 | James Kyle Timmons | Psychologist | 1020 Potlatch Cir, Anchorage, AK 99503-1728 | 2018-04-23 |
| 1679990279 | Daniel Lord | Psychologist | 600 Richardson Drive Community Center, Fort Richardson, Anchorage, AK 99505 | 2014-03-21 |
| 1457780678 | Cody Chipp | Psychologist | 1131 E International Rd, Anchorage, AK 99518-1408 | 2013-11-07 |
| 1932497617 | Life Coach Psychology Plc | Psychologist | 3105 Lakeshore Dr, Suite B102, Anchorage, AK 99517-2806 | 2011-07-15 |
| 1891085007 | Terri Draper | Psychologist | 4320 Diplomacy Drive, Suite 1500, Anchorage, AK 99508 | 2011-04-10 |
| 1720383185 | Nicole Levaillant | Psychologist | Building 786 D Street, Anchorage, AK 99505 | 2011-01-17 |
| 1215231345 | Irmgard Jo Romine | Psychologist | 3980 Dunlap Ave, Fairbanks, AK 99709-3509 | 2011-01-04 |
| 1144549924 | Christopher Scott Brown | Psychologist | 3180 Peger Rd Ste 248, Fairbanks, AK 99709-5485 | 2010-05-19 |
| Find all providers with the same taxonomy | ||||
| City | DILLINGHAM |
| Zip Code | 99576 |
Please comment or provide details below to improve the information on DR. THERESA STACY KEARNS.
| 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.