MR. NIMERI MODIR DENIS (NPI# 1285905927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285905927 |
| Entity Type | Individual |
| Full Name | MR. NIMERI MODIR DENIS |
| Practice Address |
1058 W 27th Ave Anchorage AK 99503-2424 |
| Practice Telephone | 9072747391 |
| Practice Fax Number | 9077647391 |
| Mailing Telephone | 9072747391 |
| Mailing Fax Number | 9077647391 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | Other Service Providers | ||
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
1058 W 27TH AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720202880 | Anchor House Inc | Assisted Living Facility | 1058 W 27th Ave, Anchorage, AK 99524-1465 | 2007-04-12 |
| 1235736349 | Faaofo Faauliufi | Technician | 1058 W 27th Ave, Anchorage, AK 99503-2424 | 2020-10-02 |
| 1790304723 | Jolyn Virginia Mateo | Technician | 1058 W 27th Ave, Anchorage, AK 99503-2424 | 2020-04-09 |
| 1912536947 | Lilivau Aioso | Behavior Technician | 1058 W 27th Ave, Anchorage, AK 99503-2424 | 2020-04-02 |
| 1629633029 | Levi Tetpon | Technician | 1058 W 27th Ave, Anchorage, AK 99503-2424 | 2019-05-01 |
| 1336704733 | Jaepil Yoon | Technician | 1058 W 27th Ave, Anchorage, AK 99503-2424 | 2019-05-01 |
| 1053877092 | Edward T Lalau | Technician | 1058 W 27th Ave, Anchorage, AK 99503-2424 | 2019-02-14 |
| 1346713112 | Bill Clinton Tino | Technician | 1058 W 27th Ave, Anchorage, AK 99503-2424 | 2019-01-04 |
| 1114490844 | Momoi Amotai | Technician | 1058 W 27th Ave, Anchorage, AK 99503-2424 | 2019-01-04 |
| 1164901286 | Ashley E Tibbetts | Technician | 1058 W 27th Ave, Anchorage, AK 99503-2424 | 2018-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596723 | Ceara Streisel | Day Training/Habilitation Specialist | 7521 Brayton Dr # Na, Anchorage, AK 99507-2667 | 2020-04-09 |
| 1497381180 | Eric Tyskiewicz | Day Training/Habilitation Specialist | 7521 Brayton Dr # Dra, Anchorage, AK 99507-2667 | 2020-03-13 |
| 1053942854 | Loth Sayavong | Day Training/Habilitation Specialist | 4121 Crannog St, Anchorage, AK 99502-5174 | 2020-01-30 |
| 1215536032 | Garret Davidson | Day Training/Habilitation Specialist | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2020-10-22 |
| 1891394656 | Felicidad Sails | Day Training/Habilitation Specialist | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2020-10-22 |
| 1104424324 | Martika Timoteo | Day Training/Habilitation Specialist | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2020-10-09 |
| 1174120422 | Coralie Passalacqua-santiago | Day Training/Habilitation Specialist | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2020-10-08 |
| 1255947370 | Aneti Tapuolo | Day Training/Habilitation Specialist | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2020-09-23 |
| 1861008989 | Darian Payne | Day Training/Habilitation Specialist | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2020-09-23 |
| 1467069500 | Eunice Loy | Day Training/Habilitation Specialist | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2020-09-23 |
| Find all providers in ANCHORAGE | ||||
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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.