KARISSA PERSSON (NPI# 1790208775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790208775 |
| Entity Type | Individual |
| Full Name | KARISSA PERSSON |
| Credential | RN |
| Practice Address |
1717 W Cowles St Fairbanks AK 99701-5926 |
| Mailing Address |
Po Box 94429 Seattle WA 98124-6729 |
| Practice Telephone | 9074516682 |
| Mailing Telephone | 9074516682 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
121822 | AK | Nursing Service Providers |
| Street Address |
1717 W COWLES ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942299144 | Laura Catalano | Physician Assistant | 1717 W Cowles St, Fairbanks, AK 99701 | 2005-10-19 |
| 1215554605 | Reilly Jorgensen | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-07-01 |
| 1154947109 | Jan Rud | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-06-24 |
| 1295356673 | Cheyanne Esmailka | Community Health Worker | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-04-27 |
| 1699395111 | Jordyn Lillie | Community Health Worker | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-04-24 |
| 1932738135 | Kaneisha Radgosky | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-04-08 |
| 1376172585 | Lucinda Dowdy | Licensed Practical Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-04-08 |
| 1225662554 | Jennifer Landis | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-02-25 |
| 1427681329 | Bozena Glover | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-02-19 |
| 1326678699 | Samantha Arbuckle | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-01-24 |
| Find all providers in the same location | ||||
| 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 | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404779 | Haley Evens | Registered Nurse | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2020-07-07 |
| 1649762113 | James Roush | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2018-05-31 |
| 1841788726 | Ryan Keener | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2018-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285150177 | Terri Lynn Gazdig | Registered Nurse | Usgg Juneau Medical Clinic, 709 W 9th St, Juneau, AK 99801-1807 | 2017-08-22 |
| 1982980041 | Jean Ann Curtis | Registered Nurse | 7230 Bulen Dr, Anchorage, AK 99507-2879 | 2011-11-02 |
| 1801103981 | Bernadette Bojorge Baez | Registered Nurse | 6821 W Knox Dr, Wasilla, AK 99654-9293 | 2010-09-09 |
| 1144376369 | Daniel Cline Weaver | Registered Nurse | 13004 Klawock-hollis Hwy, Klawock, AK 99925 | 2007-01-29 |
| 1265583207 | Kim Matthews | Registered Nurse | 21 Rachel Lane, Brevig Mission, AK 99785 | 2007-01-16 |
| 1104425073 | Lennett Lerch | Registered Nurse | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-10-21 |
| 1215578422 | Andrew James Baker | Registered Nurse | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-09-30 |
| 1528615309 | Thomas Irby | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2019-08-26 |
| 1316594690 | Dalene Fisher | Registered Nurse | 670 W Fireweed Ln Ste 160, Anchorage, AK 99503-2561 | 2019-08-21 |
| 1740744457 | Eva Renee Holmes | Registered Nurse | 670 W Fireweed Ln Ste 160, Anchorage, AK 99503-2561 | 2019-01-27 |
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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.