DR. KELLY MARIE MOXLEY (NPI# 1669673596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669673596 |
| Entity Type | Individual |
| Full Name | DR. KELLY MARIE MOXLEY |
| Credential | D.P.M. |
| Practice Address |
8800 Glacier Hwy Suite 218 Juneau AK 99801-8087 |
| Practice Telephone | 9077890405 |
| Practice Fax Number | 9077892925 |
| Mailing Telephone | 9077890405 |
| Mailing Fax Number | 9077892925 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
6398 | AK | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E 4753 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1821 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | STATE LICENSE | 6398 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093371445 | Kelly Andrew Moxley | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-05-10 |
| Street Address |
8800 GLACIER HWY SUITE 218 |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-8087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508803669 | Jordan Creek Diagnostics | Clinical Medical Laboratory | 8800 Glacier Hwy, Suite 218, Juneau, AK 99801 | 2006-05-31 |
| 1447622485 | Anchorage Sleep Center, LLC | Clinic/Center | 8800 Glacier Hwy, Suite 215, Juneau, AK 99801-8079 | 2015-10-29 |
| 1184906059 | Jonathan Moss Schaeffer | Acupuncturist | 8800 Glacier Hwy, Suite 111, Juneau, AK 99801-8087 | 2011-09-15 |
| 1265750913 | Monsef Chiropractic, LLC | Chiropractor | 8800 Glacier Hwy, Suite #103, Juneau, AK 99801-8087 | 2010-05-05 |
| 1285880005 | Juneau Foot & Ankle Center | Clinic/Center | 8800 Glacier Hwy, 218, Juneau, AK 99801-8087 | 2008-08-12 |
| 1861650103 | Sarah Elaine Midkiff | Case Manager/Care Coordinator | 8800 Glacier Hwy, Suite 108b, Juneau, AK 99801-8087 | 2008-05-22 |
| 1881862068 | Kim Renee Bridges | Case Manager/Care Coordinator | 8800 Glacier Hwy, Suite 108b, Juneau, AK 99801-8087 | 2008-02-11 |
| 1932387339 | Keri M Mell | Chiropractor | 8800 Glacier Hwy, Suite 236, Juneau, AK 99801-8087 | 2008-02-07 |
| 1306029954 | Fireweed Chiropractic and Massage | Chiropractor | 8800 Glacier Hwy, Suite 236, Jordan Creek Center, Juneau, AK 99801-8087 | 2007-12-06 |
| 1760663132 | Georgia Daylene Germunson | Case Manager/Care Coordinator | 8800 Glacier Hwy, Suite 108 B, Juneau, AK 99801-8087 | 2007-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710020649 | Rock River Foot & Ankle Clinic, Sc | Podiatrist | 153 E Oak St, Juneau, WI 53039-1323 | 2007-02-14 |
| 1417042912 | Frank Fir Mesdag | Podiatrist | 8800 Glacier Highway, Suite 218, Juneau, AK 99801-8080 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922566652 | Matt A. Heilala, Dpm Inc. | Podiatrist | 3190 E Meridian Park Loop Ste 205, Wasilla, AK 99654-7422 | 2019-03-12 |
| 1578819215 | Danny Romman | Podiatrist | 240 Hospital Pl Ste 203, Soldotna, AK 99669-7559 | 2012-07-31 |
| 1659687945 | Fairbanks Foot & Ankle Inc. | Podiatrist | 1405 Kellum St., Ste 200, Fairbanks, AK 99701 | 2010-08-24 |
| 1821135427 | Matt A Heilala | Podiatrist | 4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 | 2007-01-31 |
| 1588755110 | Kenneth Craig Swayman | Podiatrist | 2741 Debarr Rd Ste C315, Anchorage, AK 99508-2992 | 2006-09-27 |
| 1649620303 | Whitney Daneille Garner | Podiatrist | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2016-06-14 |
| 1861809311 | Alaskan Legacy Podiatric Foot & Ankle Specialist LLC | Podiatrist | 4001 Laurel St, Suite 209, Anchorage, AK 99508-5300 | 2014-07-16 |
| 1245656727 | Anchorage Foot and Ankle Clinic, LLC | Podiatrist | 1000 E Dimond Blvd, Suite 201, Anchorage, AK 99515-2029 | 2014-03-08 |
| 1699119016 | Kristina Diann Lacy | Podiatrist | 240 Hospital Pl, Suite 203, Soldotna, AK 99669-7559 | 2013-04-29 |
| 1447424965 | Jared Kern | Podiatrist | 4100 Lake Otis Pkwy, Suite 312, Anchorage, AK 99508-5229 | 2008-04-16 |
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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.