JENNA LAINE MORETZ (NPI# 1962003822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962003822 |
| Entity Type | Individual |
| Full Name | JENNA LAINE MORETZ |
| Credential | PHLEBOTOMIST |
| Practice Address |
4020 Folker St Anchorage AK 99508-5321 |
| Practice Telephone | 9078305228 |
| Mailing Telephone | 9078305228 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
WA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4020 FOLKER ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134173172 | Anchorage Community Mental Health | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2006-05-22 |
| 1487254926 | Luke Bradley Offord | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-10-26 |
| 1053918268 | Christopher Michael Hindman | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-10-01 |
| 1346857158 | Tatiana Faletoi | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-25 |
| 1770199903 | Garreth Edwin | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-22 |
| 1922614320 | Linda Setterberg | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-21 |
| 1104431667 | Noryln L Aquino | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-11 |
| 1326652223 | Yannick Hodgin | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-08 |
| 1891305488 | Alisha Rukovishnikoff | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-08-07 |
| 1124637764 | Aemelia Snow | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568700078 | Nicole Mclean | Technician, Pathology | 8100 Boundary Ave Apt 3, Anchorage, AK 99504-1446 | 2013-01-18 |
| 1538497748 | Mary Lou Seifert | Technician, Pathology | 1917 Abbott Rd Ste 101, Anchorage, AK 99507-3448 | 2009-11-28 |
| 1649229113 | Lisa Carol Parker | Technician, Pathology | 2420 E 16th Ave, Anchorage, AK 99508-2906 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992095764 | Alaska Medical Service | Technician, Pathology | 300 W Swanson Ave, Suite 101, Wasilla, AK 99654-6844 | 2011-04-14 |
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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.