FIREWEED SURGICAL ASSISTS LLC (NPI# 1043722929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043722929 |
| Entity Type | Organization |
| Organization Name | FIREWEED SURGICAL ASSISTS LLC |
| Practice Address |
2500 S Woodworth Loop Palmer AK 99645-8984 |
| Mailing Address |
1150 S Colony Way Suite #3 Pmb 153 Palmer AK 99645 |
| Practice Telephone | 5085792174 |
| Mailing Telephone | 5085792174 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| Authorized Official Name | MRS. KATIE MARIE MONTANO (ACUTE CARE NURSE PRACTITIONER) |
| Authorized Official Telephone | 5085792174 |
| Authorized Official Credential | ACNP, RNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
102652 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 S WOODWORTH LOOP |
| City | PALMER |
| State | AK |
| Zip Code | 99645-8984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067590 | Roy Fukuoka | Nurse Anesthetist, Certified Registered | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2005-10-13 |
| 1720603939 | Robert A Grogan | Pharmacist | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2020-06-12 |
| 1184258170 | Michelle Hailey Allen | Registered Nurse | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2020-02-27 |
| 1528615424 | Tara E Bonardi | Nurse Anesthetist, Certified Registered | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2019-08-25 |
| 1619532215 | Eric Atkinson | Registered Nurse | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2019-05-08 |
| 1588133748 | Erin Alaina Reding | Nurse Practitioner | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2018-11-17 |
| 1740713866 | Annette Kasprzak | Emergency Medicine | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2017-04-05 |
| 1669858106 | Jesse Atwood Md Pediatrics, LLC | Pediatrics | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2015-08-06 |
| 1881080018 | Kili Grace O'bryant | Emergency Medicine | 2500 S Woodworth Loop, Palmer, AK 99645 | 2015-04-14 |
| 1205229341 | Meghan Barnett Sonnabend | Physician Assistant | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2015-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588133748 | Erin Alaina Reding | Nurse Practitioner | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2018-11-17 |
| 1497272397 | Grace A Lavalley | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2017-08-23 |
| 1245538396 | Sarah Wood Johanson | Nurse Practitioner | 2490 S Woodworth Loop, Suite 450, Palmer, AK 99645-7410 | 2011-03-14 |
| 1013168855 | Katie M Montano | Nurse Practitioner | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2008-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881162303 | Marcia Mankin-mcgee | Nurse Practitioner | 36370 Bore Tide Ct, Kenai, AK 99611-8750 | 2018-11-02 |
| 1023502606 | Priya Keane | Nurse Practitioner | 3200 Providence Dr Ste 111, Anchorage, AK 99508-4662 | 2018-06-18 |
| 1184057044 | Connie Falcon Pomerantz | Nurse Practitioner | 1301 Huffman Rd Ste 100, Anchorage, AK 99515-3568 | 2013-08-14 |
| 1326557851 | Lisa Milam | Nurse Practitioner | 4136 Bartlett St, Homer, AK 99603-7001 | 2017-09-27 |
| 1750806915 | Jorin K Calt | Nurse Practitioner | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2017-08-09 |
| 1699189613 | Linda Duwa | Nurse Practitioner | 3200 Providence Dr, Suite B111, Anchorage, AK 99508-4615 | 2014-06-18 |
| 1487996906 | Reagan T. Skinner | Nurse Practitioner | 510 W Tudor Rd, Suite 5, Anchorage, AK 99503-6649 | 2013-03-22 |
| 1861745283 | April J Dunlevy | Nurse Practitioner | 3841 Piper St, Suite T-100, Anchorage, AK 99508-4624 | 2012-10-23 |
| 1548518939 | Kelly Michelle Reinhardt | Nurse Practitioner | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2012-08-16 |
| 1245544394 | Sarah Calvert Morehouse | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508 | 2010-07-31 |
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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.