MS. CYNTHIA GORDON NICKERSON (NPI# 1891350005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891350005 |
Entity Type | Individual |
Full Name | MS. CYNTHIA GORDON NICKERSON |
Credential | RN CDE CMC |
Practice Address |
Bartlett Regional Hospital 3260 Hospital Drive Douglas AK 99801 |
Mailing Address |
2126 2nd St Douglas AK 99824-5115 |
Practice Telephone | 9077968649 |
Practice Fax Number | 9077968574 |
Mailing Telephone | 9079572999 |
Enumeration Date | 2019-05-02 |
Last Update Date | 2019-05-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
NURR19700 | AK | Nursing Service Providers |
Street Address |
BARTLETT REGIONAL HOSPITAL 3260 HOSPITAL DRIVE |
City | DOUGLAS |
State | AK |
Zip Code | 99801 |
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 | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851856827 | Susan B Martin | Registered Nurse | 8030 Resurrection Dr, Anchorage, AK 99504-4731 | 2019-02-04 |
1396239604 | Barbara Walter Long | Registered Nurse | Medical Park Family Care-diabetes Care Center, 2221 E. Northern Lights Blvd. Suite 118, Anchorage, AK 99508 | 2018-06-20 |
1386846426 | Bruce Warwick | Registered Nurse | 436 and 5th, Ted Stevens Way, Kotzebue, AK 99752-0043 | 2007-06-01 |
1134295082 | Mary J Flora | Registered Nurse | 309 Spruce Street, Yukon Flats Health Center, Fort Yukon, AK 99740 | 2006-11-24 |
1417492463 | Nancy Davidian | Registered Nurse | 1001 Noble St, Fairbanks, AK 99701-4948 | 2016-12-29 |
1932542552 | Diabetes Self Management Consultants | Registered Nurse | 2490 Spruce Cape Rd, Kodiak, AK 99615-6614 | 2013-04-12 |
1265718456 | Claire L Banks | Registered Nurse | 1717 West Cowles Street, Fairbanks, AK 99701 | 2011-11-01 |
1134420078 | Lois Schumacher | Registered Nurse | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2010-11-09 |
1437463601 | Louisa Gayle Solesbee | Registered Nurse | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2010-07-30 |
1053567404 | Peter Christian | Registered Nurse | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2008-08-15 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MS. CYNTHIA GORDON NICKERSON.
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.