MICHAEL JOSEPH PERRY (NPI# 1205146941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205146941 |
| Entity Type | Individual |
| Full Name | MICHAEL JOSEPH PERRY |
| Credential | PMHNP |
| Practice Address |
230 E Marydale Ave Suite 2 Soldotna AK 99669-7648 |
| Practice Telephone | 9072603691 |
| Practice Fax Number | 9072603697 |
| Mailing Telephone | 9072603691 |
| Mailing Fax Number | 9072603697 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2014-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1478 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401302-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1619189 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095992 | Michael Bahr Perry | Counselor | 5842 Old Main St Ste 234, North Branch, MN 55056-6687 | 2019-10-28 |
| 1255871802 | Michael Perry | Massage Therapist | 819 E High St, Milton, WI 53563-1528 | 2017-03-01 |
| 1528474178 | Michael Perry | Pharmacist | 3650 Morning Star Dr Unit 4004, Las Cruces, NM 88011-1787 | 2014-07-03 |
| 1043656788 | Michael Charles Perry Jr. | Emergency Medicine | 1400 N I-35, Suite C2.230, Ut Southwestern Austin Emergency Medicine Residency Pr, Austin, TX 78701 | 2013-05-21 |
| 1649577529 | Michael Stuart Perry | Counselor | 101 Devant St Ste 607, Fayetteville, GA 30214-2715 | 2011-02-11 |
| 1861702045 | Michael Joseph Perry | Student in an Organized Health Care Education/Training Program | 8290 Wolcott Rd, East Amherst, NY 14051-1165 | 2010-10-20 |
| 1891016267 | Michael E Perry | Psychologist | 300 E. Hospital Rd, 13flr., Obhs, Ddeamc, Fort Gordon, GA 30905 | 2010-06-19 |
| 1376788448 | Michael John Perry | Social Worker | 1180 Vicki Dr, Missoula, MT 59804-3040 | 2008-12-03 |
| 1912104746 | Michael James Perry | Pharmacist | 703 Greenville Blvd Se, Greenville, NC 27858-5103 | 2007-06-27 |
| 1548332489 | Michael Earl Perry | Marriage & Family Therapist | 16311 Ventura Blvd Ste 780, Encino, CA 91436-4327 | 2006-11-15 |
| Street Address |
230 E MARYDALE AVE SUITE 2 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676502 | Susan J Holit | Nurse Practitioner | 230 E Marydale Ave, Suite 1, Soldotna, AK 99669-7636 | 2005-08-17 |
| 1700403235 | Abigail Jorgensen | Family Medicine | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2020-06-30 |
| 1770113193 | Kawal Jooma | Social Worker | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2020-01-24 |
| 1649810433 | Chad Andrews | Nurse Practitioner | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2020-01-09 |
| 1922651587 | Jenni Rachel Brighton | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-22 |
| 1639722895 | Jana Lynn Focose | Case Manager/Care Coordinator | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-17 |
| 1851943690 | Sherrie Barlow | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-11 |
| 1942852702 | Daniel Shane Hill | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-11 |
| 1144882606 | Jennifer Morris | Community Health Worker | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-05 |
| 1255993200 | Ashley Christine Wiedermann | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810433 | Chad Andrews | Nurse Practitioner | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2020-01-09 |
| 1770090060 | Nicole Marie See | Nurse Practitioner | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2018-01-08 |
| 1063835627 | Barbara Ransom | Nurse Practitioner | 230 E Marydale Ave, Suite 2, Soldotna, AK 99669-7648 | 2014-01-31 |
| 1700984614 | Peninsula Community Health Services of Alaska, Inc. | Nurse Practitioner | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062903 | Eagle River Behavioral Health, LLC | Nurse Practitioner | 13125 Curry Ridge Cir, Eagle River, AK 99577-6730 | 2020-04-23 |
| 1760017123 | Sara Rottman | Nurse Practitioner | 2210 Sentry Dr Apt 14, Anchorage, AK 99507-5353 | 2020-03-05 |
| 1104464460 | David Ampong | Nurse Practitioner | 1577 C St Ste 204, Anchorage, AK 99501-5164 | 2019-12-18 |
| 1316597412 | Jennifer Byers Anp LLC | Nurse Practitioner | 1689 S Knik Goose Bay Rd Ste 700, Wasilla, AK 99654-8088 | 2019-09-19 |
| 1538720404 | Deanna Mae Casiano | Nurse Practitioner | 14460 E Pace Dr, Palmer, AK 99645-9964 | 2019-06-21 |
| 1154897429 | Kristerra Nicole Yawea | Nurse Practitioner | 2440 E Tudor Rd # 384, Anchorage, AK 99507-1185 | 2018-10-15 |
| 1982187399 | Sara A Lindsoe | Nurse Practitioner | 8136 White Dr, Anchorage, AK 99507-6046 | 2018-09-11 |
| 1245753656 | Richard Crisostomo | Nurse Practitioner | 3505 E Meridian Park Loop Ste 200, Wasilla, AK 99654-7242 | 2017-07-18 |
| 1609326594 | Virginia Walker | Nurse Practitioner | 3211 Providence Drive Rh Ste 116, University of Alaska Anchorage Student Health & Councel, Anchorage, AK 99508 | 2016-10-04 |
| 1922553726 | Adriana Maria Hernandez | Nurse Practitioner | 2405 S Knik Goose Bay Rd, Ste A, Wasilla, AK 99654-9965 | 2016-08-22 |
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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.