MS. LISA ANN FENN (NPI# 1124154851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124154851 |
| Entity Type | Individual |
| Full Name | MS. LISA ANN FENN |
| Other Name | LISA ANN NICKLOW |
| Credential | MS RD LD |
| Practice Address |
3245 Hospital Dr Searhc Juneau AK 99801-7809 |
| Mailing Address |
222 Tongass Drive Searhc Sitka AK 99835 |
| Practice Telephone | 9074634040 |
| Practice Fax Number | 9074634673 |
| Mailing Telephone | 9079662411 |
| Mailing Fax Number | 9079668300 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 108 | AK | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DT2342 | 05 |
| Street Address |
3245 HOSPITAL DR SEARHC |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167044 | Timothy H Strand | Optometrist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2005-07-08 |
| 1770105579 | Dillon J Covey | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-05-14 |
| 1114552304 | Rachel Noelani Jahraus | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-03-08 |
| 1134782550 | Danna Madeline Lehneis | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-22 |
| 1346703501 | Rhett Allen Berg | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-12 |
| 1366936304 | Kaela Burke | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2018-06-21 |
| 1346781291 | Rochell Burke | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-03-12 |
| 1083153134 | Kristin Johanson | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-02-21 |
| 1760840110 | Kelly O'shaughnessy | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-31 |
| 1871950386 | Sarah Frampton | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265769525 | Genevieve Anne Armstrong | Dietitian, Registered | 3245 Hospital Drive Search, Juneau, AK 99801 | 2009-11-06 |
| 1639708803 | Riley K O'connor | Dietitian, Registered | 1200 Salmon Creek Ln, Room 130, Juneau, AK 99801-4985 | 2020-04-08 |
| 1922477744 | Katherine Marie Sweetman | Dietitian, Registered | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2015-09-22 |
| 1376912493 | Laura Schembri | Dietitian, Registered | 3100 Channel Dr Ste 300, Juneau, AK 99801-7837 | 2015-09-18 |
| 1982023511 | Stephanie Haggerty | Dietitian, Registered | 1601 Salmon Creek Ln, Juneau, AK 99801-7867 | 2014-04-10 |
| 1689092199 | Aleene Poulsen | Dietitian, Registered | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2014-04-01 |
| 1437430345 | Susan Louise Hennon | Dietitian, Registered | 3245 Hospital Drive, Searhc, Juneau, AK 99801 | 2011-09-06 |
| 1295030260 | Kari Lynn Natwick | Dietitian, Registered | 3245 Hospital Dr, Health Promotion, Juneau, AK 99801-7809 | 2011-01-21 |
| 1598091902 | Nancy Duhaime | Dietitian, Registered | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2009-10-20 |
| 1679797435 | Linda Carole Wild | Dietitian, Registered | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2007-04-12 |
| Find all providers in JUNEAU | ||||
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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.