MAREENA MICHELLE BECERRIL-WILD (NPI# 1083123665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083123665 |
| Entity Type | Individual |
| Full Name | MAREENA MICHELLE BECERRIL-WILD |
| Practice Address |
4219 S Pinnacle Peak Dr Wasilla AK 99623-0721 |
| Practice Telephone | 9075215543 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | NURP6825 | AK | Nursing Service Providers |
| Street Address |
4219 S PINNACLE PEAK DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-0721 |
| 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 | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144706458 | Alysia S Peppers | Licensed Practical Nurse | 3628 South Shady Lane, Wasilla, AK 99654 | 2018-07-19 |
| 1114467503 | Anna Meisel | Licensed Practical Nurse | 189 E Nelson Ave # 238, Wasilla, AK 99654-6462 | 2017-03-03 |
| 1972955532 | Jacqueline Gerrish | Licensed Practical Nurse | 401 S Wasilla St Unit 26, Wasilla, AK 99654-8173 | 2016-07-07 |
| 1194172049 | Madison Morgan | Licensed Practical Nurse | 6101 N Little Rock Cir, Wasilla, AK 99654-0427 | 2016-05-20 |
| 1881069540 | Gena Mckee | Licensed Practical Nurse | 2650 N Tamar Cir, B, Wasilla, AK 99654-2200 | 2015-12-07 |
| 1881062453 | Christopher Mobley | Licensed Practical Nurse | 189 E Nelson Ave, Wasilla, AK 99654-6462 | 2015-09-12 |
| 1104231380 | Vanessa Gittlein | Licensed Practical Nurse | 301 S Begich Dr, Wasilla, AK 99654-7619 | 2014-06-25 |
| 1962815316 | Shaina Brent | Licensed Practical Nurse | 2851 N Earl Dr, Wasilla, AK 99654-9352 | 2014-06-03 |
| 1053742288 | Zina Bodunov | Licensed Practical Nurse | 4921 S Binnacle Ave, Wasilla, AK 99654 | 2013-12-13 |
| 1619319886 | Ellisa Lacy | Licensed Practical Nurse | 3435 N Wolverine Dr, Wasilla, AK 99654-2704 | 2013-07-29 |
| Find all providers in WASILLA | ||||
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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.