DR. NICOLE LEVAILLANT (NPI# 1720383185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720383185 |
| Entity Type | Individual |
| Full Name | DR. NICOLE LEVAILLANT |
| Credential | PSY.D |
| Practice Address |
Building 786 D Street Anchorage AK 99505 |
| Mailing Address |
Po Box 9 San Carlos CA 94070-0009 |
| Practice Telephone | 4086366036 |
| Mailing Telephone | 4086366036 |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
24045 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4100 Moorpark Ave, Suite #217, San Jose, CA 951171703 | 4086366036 |
| Street Address |
BUILDING 786 D STREET |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134763378 | Idris Usman | Social Worker | 786 D St., Jber-richardson, AK 99505 | 2019-10-31 |
| 1114578572 | Matthew Coddington | Physical Therapist | Jber Soldier Centered Medical Home, Building 786, D Street, Jber, AK 99505 | 2019-09-26 |
| 1801362132 | Jolene Danielle Sletten | Audiologist | Soldier Centered Medical Home-u.s. Army, 786 D Street, Joint Base Elemendorf-richardson, AK 99505 | 2018-10-14 |
| 1700322773 | Joshua Hatch | Physician Assistant | Bldg 786 D St., Jber, AK 99505 | 2017-01-13 |
| 1578912598 | Jacob Shook | Family Medicine | Medac 7860, Joint Base Elmendorf Richardson, AK 99505 | 2016-06-09 |
| 1699130963 | Tracy Mumbulo | Licensed Practical Nurse | 208 Akutan Ave Unit A, Jber, AK 99505 | 2015-12-30 |
| 1609294933 | Benjamin E. Thompson | Physician Assistant | Jber Scmh, Bldg 786 D St, Jber, AK 99505 | 2014-04-03 |
| 1679990279 | Daniel Lord | Psychologist | 600 Richardson Drive Community Center, Fort Richardson, Anchorage, AK 99505 | 2014-03-21 |
| 1598199028 | Nina Rodriguez | General Practice | 786 D St, Jber, AK 99505 | 2013-09-03 |
| 1407160377 | Christopher Hay Caldwell | Optometrist | Jber Scmh, Bldg 786, Optometry, Jber, AK 99505 | 2010-08-03 |
| Find all providers in zip 99505 | ||||
| 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 |
| 1013150168 | Sally Schliesmann | Psychologist | 2846 Redwood Pl, Anchorage, AK 99508-4210 | 2009-04-18 |
| 1457597767 | Jana Hoan Zeedyk | Psychologist | 2549 Cottonwood St, Anchorage, AK 99508-3933 | 2008-12-17 |
| 1386833895 | David Sandberg | Psychologist | 2550 Denali St Ste 1608, Anchorage, AK 99503-2753 | 2007-10-20 |
| Find all providers in ANCHORAGE | ||||
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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.