REILLY JORGENSEN (NPI# 1215554605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215554605 |
| Entity Type | Individual |
| Full Name | REILLY JORGENSEN |
| Practice Address |
1717 W Cowles St Fairbanks AK 99701-5926 |
| Mailing Address |
122 1st Ave Ste 106 Fairbanks AK 99701-4871 |
| Practice Telephone | 9074516682 |
| Mailing Telephone | 9074528251 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 160446 | AK | Nursing Service Providers |
| Street Address |
1717 W COWLES ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942299144 | Laura Catalano | Physician Assistant | 1717 W Cowles St, Fairbanks, AK 99701 | 2005-10-19 |
| 1154947109 | Jan Rud | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-06-24 |
| 1295356673 | Cheyanne Esmailka | Community Health Worker | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-04-27 |
| 1699395111 | Jordyn Lillie | Community Health Worker | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-04-24 |
| 1932738135 | Kaneisha Radgosky | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-04-08 |
| 1376172585 | Lucinda Dowdy | Licensed Practical Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-04-08 |
| 1225662554 | Jennifer Landis | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-02-25 |
| 1427681329 | Bozena Glover | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-02-19 |
| 1326678699 | Samantha Arbuckle | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-01-24 |
| 1114557279 | Matthew Petcoff | Advanced Practice Midwife | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128718 | Mayte Fekete | Registered Nurse | 840 Pickering Dr, Fairbanks, AK 99709-5775 | 2020-06-08 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1255724464 | Andrea Dubenezic | Registered Nurse | 1025 W. Barnette St., Fairbanks Regional Public Health Center, Fairbanks, AK 99701 | 2015-03-12 |
| 1942563663 | Connie Jo Moore | Registered Nurse | 1717 W. Cowles Street, Fairbanks, AK 99701 | 2012-06-18 |
| 1306110812 | Douglas John Finney | Registered Nurse | 1025 W Barnette, Fairbanks, AK 99701 | 2012-03-01 |
| 1164600185 | Margaret Rader | Registered Nurse | 1717 W Cowles, Fairbanks, AK 99701-5903 | 2008-01-31 |
| 1619162039 | Faith M Walsh | Registered Nurse | 122 First Ave, Suite 600, Tanana Chiefs Conference, Fairbanks, AK 99701 | 2007-09-10 |
| 1265545651 | Amy A Williamson | Registered Nurse | 3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 | 2006-08-17 |
| 1992303085 | Stephanie H Won | Registered Nurse | 1025 W Barnette St, Fairbanks, AK 99701-4539 | 2020-10-12 |
| 1215534664 | Karyn Holder | Registered Nurse | 1025 W Barnette St, Fairbanks, AK 99701-4539 | 2020-10-07 |
| 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.