MS. VICKI J MAYHALL (NPI# 1982852158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982852158 |
| Entity Type | Individual |
| Full Name | MS. VICKI J MAYHALL |
| Credential | RN |
| Practice Address |
1915 E Rezanof Dr Kodiak AK 99615-6602 |
| Practice Telephone | 9074869545 |
| Mailing Telephone | 9074869545 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
19438 | AK | Nursing Service Providers |
| Street Address |
1915 E REZANOF DR |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905660 | Providence Health & Services Washington | General Acute Care Hospital | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2005-10-07 |
| 1093228348 | Stephanie Louise Hurley | Pharmacist | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2017-11-08 |
| 1083125355 | Kodiak Life Diagnostic Imaging, Inc | Clinic/Center | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2017-10-13 |
| 1639555840 | Aurora Crye | Pharmacist | 1915 E Rezanof Dr, Kodiak, AK 99615 | 2015-08-11 |
| 1144666918 | John Arthur Mcentee | Pharmacist | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2013-05-20 |
| 1508150384 | Diana Bash | Registered Nurse | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2011-06-08 |
| 1235421132 | Monique Patricia Reckner | Registered Nurse | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2011-05-10 |
| 1295032910 | Kodiak Board Certified Radiology, LLC | Radiology | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2011-02-15 |
| 1306147434 | Providence Kodiak Medical Center | Custodial Care Facility | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2010-11-05 |
| 1194032631 | Amy Jean Deer | Registered Nurse | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2010-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629221221 | Amy Kathryn Matthews | Registered Nurse | 1915 East Rezanof Dr, Kodiak, AK 99615 | 2008-10-28 |
| 1194032631 | Amy Jean Deer | Registered Nurse | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2010-09-03 |
| 1497903769 | Ronda Holcombe | Registered Nurse | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2008-08-28 |
| 1891978805 | Judy Rogers | Registered Nurse | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2007-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434945 | Marshal Ann Packa | Registered Nurse | 2930 W Youngtree Dr, Wasilla, AK 99623-4131 | 2020-07-07 |
| 1770133530 | Khaddy Jobarteh | Registered Nurse | 13111 Scottie Ct, Anchorage, AK 99515-3855 | 2019-09-13 |
| 1386012128 | Sarah Gillespie | Registered Nurse | 2803 Aspen Dr Apt 1, Anchorage, AK 99517-3323 | 2015-09-10 |
| 1821477795 | Kristina Theresa Ferro O'mara | Registered Nurse | 670 W. Fireweed Lane, Suite 160, Anchorage, AK 99503 | 2015-05-26 |
| 1407240526 | Joseph Marvin Penafort | Registered Nurse | 2101 Lore Rd Apt A, Anchorage, AK 99507-2981 | 2015-03-26 |
| 1366841363 | Zora Lesueur | Registered Nurse | 670 Fireweed Lane Suite 160, Anchorage, AK 99503-5321 | 2014-08-15 |
| 1861806879 | Carol Johnson | Registered Nurse | 43421 K Beach Rd # 4, Soldotna, AK 99669-8259 | 2014-06-17 |
| 1235335340 | Julie Robin Campbell | Registered Nurse | 3546 Latouche St, Suite 101, Anchorage, AK 99508-4209 | 2007-06-25 |
| 1710017140 | Mary Sheppard Fries | Registered Nurse | 451 Sterling Hwy, Homer, AK 99603-7440 | 2007-03-06 |
| 1093332678 | Alaska Abbey Home Health Care & Private Duty Nursing | Registered Nurse | 3240 Penland Pkwy Spc 211, Anchorage, AK 99508-1913 | 2020-06-30 |
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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.