CARL RAYBURN (NPI# 1063603645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063603645 |
| Entity Type | Individual |
| Full Name | CARL RAYBURN |
| Practice Address |
1825 Marika Road Fairbanks AK 99709-5521 |
| Practice Telephone | 9074551421 |
| Mailing Telephone | 9074740890 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2012-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1825 MARIKA ROAD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811528045 | Jay Santiago | Behavior Technician | 1825 Marika Road, Fairbanks, AK 99709 | 2020-01-27 |
| 1114568706 | Simon Barkwell | Behavior Technician | 1825 Marika Road, Fairbanks, AK 99709 | 2019-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417227752 | Viola L Mccain | Social Worker | 1335 Skyline Dr, Fairbanks, AK 99712-1151 | 2012-01-04 |
| 1114295391 | Victoria Lynzie Milhouse | Social Worker | 965 Coppet St, Fairbanks, AK 99709-4718 | 2011-12-02 |
| 1437483377 | Laurel A Sliney | Social Worker | 3830 S. Cushman St, Fairbanks, AK 99701 | 2009-09-24 |
| 1922218668 | Leslie Yamamoto | Social Worker | 407 5th Ave, Fairbanks, AK 99701-4715 | 2007-05-23 |
| 1932197167 | Cristina Ann Ackerman | Social Worker | 3180 Peger Rd, Suite 200, Fairbanks, AK 99709-5453 | 2005-10-11 |
| 1558960401 | Jo Marie Gemlich | Social Worker | 100 Cushman St Ste 309, Fairbanks, AK 99701-4673 | 2020-10-21 |
| 1073124939 | Alyssa Ball | Social Worker | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2020-08-13 |
| 1154951010 | Kristal Ann Kinsey | Social Worker | 100 Cushman St Ste 309, Fairbanks, AK 99701-4673 | 2020-01-20 |
| 1811530827 | Jeannette Padilla | Social Worker | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2019-10-22 |
| 1508409863 | Justin Michael Knowles | Social Worker | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2019-10-18 |
| Find all providers in FAIRBANKS | ||||
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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.