MR. JOHN W PENDREY IV (NPI# 1164516597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164516597 |
| Entity Type | Individual |
| Full Name | MR. JOHN W PENDREY IV |
| Credential | CDCII, NCAC1 |
| Practice Address |
3001 C Street Department of Veterans Affairs Domiciliary Anchorage AK 99503 |
| Mailing Address |
2620 Monmouth Avenue Anchorage AK 99502 |
| Practice Telephone | 9072734000 |
| Practice Fax Number | 9072734085 |
| Mailing Telephone | 9072734088 |
| Mailing Fax Number | 9072734085 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2212 | AK | Behavioral Health & Social Service Providers |
| Street Address |
3001 C STREET DEPARTMENT OF VETERANS AFFAIRS DOMICILIARY |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334993 | Terria Jean Vandenhuerk | Counselor | 7125 Old Seward Hwy Ste 201, Anchorage, AK 99518-2282 | 2020-10-22 |
| 1558980938 | Theresa Johnson | Counselor | 3230 C St Ste 100, Anchorage, AK 99503-3918 | 2020-04-15 |
| 1548896293 | Yazmin B Sanchez | Counselor | 3760 Piper St Ste 1090, Anchorage, AK 99508-4683 | 2020-03-13 |
| 1205470572 | Briana Salome Pili | Counselor | 741 N Bunn St Apt 1, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1104460484 | Erica Lolesio | Counselor | 741 N Bunn St Apt 3, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1609410901 | Maggie May Rhodes | Counselor | 741 N Bunn St Apt 4, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1598327074 | Anna Sappah | Counselor | 401 W International Airport Rd Ste 27, Anchorage, AK 99518-1168 | 2019-07-03 |
| 1902463581 | Karsandra Dianne Higuera | Counselor | 400 W Tudor Rd Ste A400, Anchorage, AK 99503-6652 | 2019-05-20 |
| 1760047575 | Kelli Lynne Hyden | Counselor | 3600 San Jeronimo Dr Ste 201, Anchorage, AK 99508-2870 | 2019-05-07 |
| 1396244893 | Eydie Yvonne Flygare | Counselor | 8131 Medellin Cir Unit A, Anchorage, AK 99507-3270 | 2018-02-09 |
| 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.