NICOLLE KAHL HENDRIX (NPI# 1871579961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871579961 |
| Entity Type | Individual |
| Full Name | NICOLLE KAHL HENDRIX |
| Credential | MPAS, PA-C |
| Practice Address |
1001 Noble St Fairbanks AK 99701-4922 |
| Mailing Address |
1919 Lathrop St Ste # 105 Fairbanks AK 99701-5937 |
| Practice Telephone | 9074593500 |
| Practice Fax Number | 9074582653 |
| Mailing Telephone | 9074516561 |
| Mailing Fax Number | 9074528912 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2013-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1000 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1000 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
9868 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 991491900 | 05 | |
| AK | MDA0443 | 05 | |
| AK | DEA | MH2453924 | 01 |
| Street Address |
1001 NOBLE ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239524 | David Kent Zetterman | Family Medicine | 1001 Noble St, Fairbanks, AK 99701-4922 | 2005-07-19 |
| 1811501679 | Professional Pharmacy LLC | Pharmacy | 1001 Noble St, Fairbanks, AK 99701-4948 | 2020-08-31 |
| 1942862149 | Jaime Nicole Sawchuk | Counselor | 1001 Noble St, Fairbanks, AK 99701-4948 | 2019-07-08 |
| 1154821593 | Shelby A Braun | Dietitian, Registered | 1001 Noble St, Fairbanks, AK 99701-4948 | 2018-02-12 |
| 1417492463 | Nancy Davidian | Registered Nurse | 1001 Noble St, Fairbanks, AK 99701-4948 | 2016-12-29 |
| 1437691771 | Katie Garrity | Dietitian, Registered | 1001 Noble St, Suite 450, Fairbanks, AK 99701-4948 | 2016-11-16 |
| 1922559558 | Tanana Valley Clinic LLC | Clinic/Center | 1001 Noble St, Fairbanks, AK 99701-4948 | 2016-10-19 |
| 1801240221 | Heather Powers | Dietitian, Registered | 1001 Noble St, Fairbanks, AK 99701-4948 | 2016-04-21 |
| 1023492642 | Jennifer Ribar | Neuromusculoskeletal Medicine & OMM | 1001 Noble St, Fairbanks, AK 99701-4948 | 2015-07-14 |
| 1013399708 | Rebekah L. Burket | Counselor | 1001 Noble St, Fairbanks, AK 99701-4948 | 2015-06-18 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629240874 | Orthopaedic Triage of Fairbanks, Inc | Physician Assistant | 1919 Lathrop, Suite 209, Fairbanks, AK 99701 | 2008-03-27 |
| 1467809699 | Angela Britt | Physician Assistant | 2310 Peger Rd, Fairbanks, AK 99709 | 2016-05-18 |
| 1801054879 | Jennifer A Holt | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2008-05-27 |
| 1902990963 | Michael Thomas Weber | Physician Assistant | 1919 Lathrop St, Suite 209, Fairbanks, AK 99701 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003285222 | Christie Bentz | Physician Assistant | 3027 Mountainwood Cir, Juneau, AK 99801-9624 | 2015-09-17 |
| 1760872121 | Rachel Goldberger | Physician Assistant | 2741 Debarr Rd Ste C402, Anchorage, AK 99508-2980 | 2015-01-23 |
| 1730651514 | Peter Marbarger Jr. | Physician Assistant | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2018-12-18 |
| 1942783170 | Zachary Daniel Hartmann | Physician Assistant | 3831 Piper St Ste S220, Anchorage, AK 99508-4680 | 2018-09-13 |
| 1861907487 | Kaleigh Marie Bishop | Physician Assistant | 3831 Piper St Ste 220, Anchorage, AK 99508-4680 | 2017-12-05 |
| 1659810281 | Jennifer L Hermanson | Physician Assistant | 3831 Piper St, S-450, Anchorage, AK 99508-4680 | 2017-02-15 |
| 1679920565 | Leslie Tolliver II | Physician Assistant | 4100 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5229 | 2016-05-20 |
| 1902271547 | Bennjamin L Kennah Pa-c | Physician Assistant | 2741 Debarr Rd Ste C214, Anchorage, AK 99508-2978 | 2015-12-08 |
| 1942674577 | Cami Zobel | Physician Assistant | 2751 Debarr Rd Ste B320, Anchorage, AK 99508-6805 | 2015-11-19 |
| 1780054445 | Christopher Albert | Physician Assistant | 4100 Lake Otis Pkwy Ste 302, Anchorage, AK 99508-5230 | 2015-10-06 |
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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.