MARSHAL ANN PACKA (NPI# 1003434945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003434945 |
| Entity Type | Individual |
| Full Name | MARSHAL ANN PACKA |
| Credential | RN |
| Practice Address |
2930 W Youngtree Dr Wasilla AK 99623-4131 |
| Practice Telephone | 9074140203 |
| Mailing Telephone | 9074140203 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
110994 | AK | Nursing Service Providers |
| Street Address |
2930 W YOUNGTREE DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518185388 | Dianne K. B. Maythorne | Registered Nurse | 1363 W Spruce Ave, Wasilla, AK 99654-5327 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1629221221 | Amy Kathryn Matthews | Registered Nurse | 1915 East Rezanof Dr, Kodiak, AK 99615 | 2008-10-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.