MS. ANIELA B DAVIS (NPI# 1124173406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124173406 |
| Entity Type | Individual |
| Full Name | MS. ANIELA B DAVIS |
| Credential | ANP |
| Practice Address |
4241 B St Suite 301 Anchorage AK 99503-5910 |
| Mailing Address |
Po Box 143255 Anchorage AK 99514-3255 |
| Practice Telephone | 9073511092 |
| Practice Fax Number | 9072785944 |
| Mailing Telephone | 9073323231 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
12502 | AK | Nursing Service Providers |
| X | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
620 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | AK STATE ANP LICENSE # | 620 | 01 |
| Street Address |
4241 B ST SUITE 301 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326095837 | Russell S Cherry | Clinical Neuropsychologist | 4241 B St, Suite 202, Anchorage, AK 99503-5920 | 2006-05-28 |
| 1659689222 | Alaska Neuro Associates, LLC | Clinical Neuropsychologist | 4241 B St, Suite 202, Anchorage, AK 99503-5920 | 2010-09-17 |
| 1790830149 | Judith Danielle Guertin | Counselor | 4241 B St, Suite 301, Anchorage, AK 99503-5910 | 2007-01-24 |
| 1629013065 | Good Samaritan Counseling Center | Nurse Practitioner | 4241 B St, Suite 100, Anchorage, AK 99503-5920 | 2006-06-19 |
| 1891736344 | Heather H Macomber | Clinical Neuropsychologist | 4241 B St, Suite 202, Anchorage, AK 99503-5920 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407219652 | Gerald Martone | Registered Nurse | 3700 Piper Street, Alaska Psychiatric Institute, Anchorage, AK 99508 | 2016-04-04 |
| 1053918268 | Christopher Michael Hindman | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-10-01 |
| 1346894029 | Amy Lynn Leneave | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-07-30 |
| 1568028868 | Tomas Jon Hansen | Registered Nurse | 4000 San Ernesto Ave, Anchorage, AK 99508-2874 | 2019-05-13 |
| 1568025633 | Shawn Rennea Strong | Registered Nurse | 3700 Piper St, Anchorage, AK 99508-4665 | 2019-04-15 |
| 1831612639 | Deborah Bruening | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2017-07-24 |
| 1912220203 | Diane Bartlett | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2010-03-01 |
| 1275866543 | Jennifer Brecheisen | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2009-09-17 |
| 1437399292 | Bonnie Ann Mcmahon | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2009-03-05 |
| 1326238932 | Peter Ira Cohen | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2007-07-30 |
| Find all providers in ANCHORAGE | ||||
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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.