MS. IRMGARD JO ROMINE (NPI# 1215231345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215231345 |
| Entity Type | Individual |
| Full Name | MS. IRMGARD JO ROMINE |
| Credential | LPA |
| Practice Address |
3980 Dunlap Ave Fairbanks AK 99709-3509 |
| Practice Telephone | 9074740044 |
| Practice Fax Number | 9074740044 |
| Mailing Telephone | 9074740044 |
| Mailing Fax Number | 9074740044 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LPA 611 | AK | Behavioral Health & Social Service Providers |
| Street Address |
3980 DUNLAP AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144549924 | Christopher Scott Brown | Psychologist | 3180 Peger Rd Ste 248, Fairbanks, AK 99709-5485 | 2010-05-19 |
| 1770772345 | Slumber Solutions | Psychologist | 1901 Airport Way, Fairbanks, AK 99701 | 2007-10-19 |
| 1417096702 | Claudia J French | Psychologist | 250 Cushman St, Suite 4a, Fairbanks, AK 99701-4640 | 2007-02-05 |
| 1164577037 | Siegfried A Fink | Psychologist | 688 Chena Ridge Rd, Fairbanks, AK 99709-2403 | 2007-01-23 |
| 1982775979 | Jason L. Whipple | Psychologist | 122 1st Ave Ste 400, Fairbanks, AK 99701-4871 | 2006-11-13 |
| 1699763342 | Dean Latham Zuelsdorf | Psychologist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2005-10-06 |
| 1124015169 | Kornelia Grabinska | Psychologist | 1030 Meadow Mouse Rd, Fairbanks, AK 99709-6618 | 2005-10-04 |
| 1649679564 | Kendra Campbell, Phd | Psychologist | 600 University Ave, Suite 2b, Fairbanks, AK 99709-3651 | 2014-08-15 |
| 1699017210 | Martha P Cranor | Psychologist | 250 Cushman St, Suite 2c, Fairbanks, AK 99701-4640 | 2013-03-21 |
| 1134408867 | Stephen Parker | Psychologist | 1030 Meadow Mouse Rd, Fairbanks, AK 99709-6618 | 2011-08-11 |
| Find all providers in FAIRBANKS | ||||
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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.