DESIREE NIEDERER


Address: 17105 Park Place St, Eagle River, AK 99577-7821
Phone: 9076221002

DESIREE NIEDERER (NPI# 1164817169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164817169
Entity Type Individual
Full Name DESIREE NIEDERER
Credential L.P.C.
Practice Address 17105 Park Place St
Eagle River
AK 99577-7821
Practice Telephone 9076221002
Practice Fax Number 9076228808
Mailing Telephone 9076221002
Mailing Fax Number 9076228808
Enumeration Date 2015-04-06
Last Update Date 2015-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
790 AK Behavioral Health & Social Service Providers

Office Location

Street Address 17105 PARK PLACE ST
City EAGLE RIVER
State AK
Zip Code 99577-7821

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295786119 Eric M Unruh Social Worker 17105 Park Place St, Eagle River, AK 99577-7821 2006-05-15
1336526367 Peak Counseling Community/Behavioral Health 17105 Park Place St, Eagle River, AK 99577-7821 2015-04-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831758333 Dianne E Lyons Behavior Technician 16331 Heritage Place, Suite 101, Eagle River, AK 99577 2019-06-07
1073007209 Center for Natural Medicine, Inc. Acupuncturist 16844 Easy St, Eagle River, AK 99577 2018-06-20
1538652748 Shelly Rana Budde Nurse Practitioner 19139 Upper Skyline Dr, Eagle River, AK 99577 2018-06-12
1700387529 Aaron Wesley Jones Behavior Technician 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 2018-02-27
1033641881 Sierra Bracken Massage Therapist 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 2017-03-31
1699213231 Jolene Denee Rogers Counselor 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 2017-02-02
1881040962 Elizabeth Hanson Behavioral Analyst 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 2016-05-09
1023496148 Joel Richard Wallace Dentist 16727 Farm Avenue, Eagle River, AK 99577 2015-05-08
1184019663 Nicole Christine Newman Physician Assistant 11432 Business Blvd., Suite 4, Eagle River, AK 99577 2015-04-01
1417365362 Tammi Smith Community Health Worker 16510 Centerfield Dr B 107, Eagle River, AK 99577 2014-07-23
Find all providers in zip 99577

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073121752 Gina Thara Wall Counselor 17601 James Way, Eagle River, AK 99577-9254 2020-07-17
1154947893 Jo Flesner Counselor 17101 Snowmobile Ln Ste 109, Eagle River, AK 99577-7043 2020-06-18
1316587173 Janet Daw Counselor 10714 Colville St, Eagle River, AK 99577-8287 2020-01-09
1730540709 Kaylen Kelley Counselor 12421 Lake St Apt 6, Eagle River, AK 99577-6903 2016-03-17
1649649997 Paul Baysinger Counselor 11723 Old Glenn Hwy Ste 203, Eagle River, AK 99577-7750 2015-09-16
1437554243 Daniel Pinkerton Counselor 16123 Artillery Rd, Eagle River, AK 99577-8076 2014-10-23
1295007078 Alpenglow Counseling, LLC Counselor 16600 Centerfield Dr, Suite 201, Eagle River, AK 99577-7718 2012-02-08
1437313160 Deborah A Spira Counselor 17101 Snowmobile Lane, Suite 109, Eagle River, AK 99577 2008-07-11
1306221544 Aurora Sidney-ando Counselor 17025 Snowmobile Ln, Suite 4, Eagle River, AK 99577-7044 2015-07-29
1588064943 Kristi Seymour Counselor 11723 Old Glenn Hwy, Suite 205, Eagle River, AK 99577-7044 2014-09-03
Find all providers in EAGLE RIVER

Competitor

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City EAGLE RIVER
Zip Code 99577

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Dataset Information

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.

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