RITA DRAHEIM (NPI# 1265491773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265491773 |
| Entity Type | Individual |
| Full Name | RITA DRAHEIM |
| Credential | APN |
| Practice Address |
805 Frontage Rd Suite 200 B Kenai AK 99611-7755 |
| Practice Telephone | 9072839306 |
| Practice Fax Number | 9072839308 |
| Mailing Telephone | 9072839306 |
| Mailing Fax Number | 9072839308 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
657 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NP03473 | 05 |
| Street Address |
805 FRONTAGE RD SUITE 200 B |
| City | KENAI |
| State | AK |
| Zip Code | 99611-7755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851389589 | Carlos A. Valenzuela | Nurse Practitioner | 805 Frontage Rd, Kenai, AK 99611-9104 | 2005-10-06 |
| 1841705860 | Samantha L Garner | Nurse Practitioner | 805 Frontage Rd, Kenai, AK 99611 | 2017-12-13 |
| 1659825776 | Peninsula Community Health Services of Alaska, Inc. | Clinic/Center | 805 Frontage Rd, Suite 130, Kenai, AK 99611-9104 | 2016-08-05 |
| 1437526894 | Kelli S Landrum | Nurse Practitioner | 805 Frontage Rd, Kenai, AK 99611 | 2015-09-01 |
| 1003299108 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 805 Frontage Rd, Suite 123, Kenai, AK 99611-9104 | 2015-07-07 |
| 1306186408 | Janell Weller | Case Manager/Care Coordinator | 805 Frontage Rd, Suite 228, Kenai, AK 99611-7755 | 2013-02-26 |
| 1962798223 | Geraldine Glasgow | Case Manager/Care Coordinator | 805 Frontage Rd, Suite 208, Kenai, AK 99611-7755 | 2011-06-24 |
| 1184875692 | Colette D Reahl | Pediatrics | 805 Frontage Rd, Suite 130, Kenai, AK 99611-9104 | 2008-10-02 |
| 1528181369 | Kenai Medical Center Inc. | Family Medicine | 805 Frontage Rd, Ste 123, Kenai, AK 99611-7755 | 2007-04-09 |
| 1275644577 | Laurie Ellen Stevenson | Nurse Practitioner | 805 Frontage Rd, Suite 130, Kenai, AK 99611-7755 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| 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 |
|---|---|---|---|---|
| 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.