LORI LANDSTROM (NPI# 1316013998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316013998 |
| Entity Type | Individual |
| Full Name | LORI LANDSTROM |
| Credential | PA C |
| Practice Address |
201 3rd Avenue Suite 201 Seward AK 99664-2088 |
| Mailing Address |
Po Box 2088 Suite 201 Seward AK 99664-2088 |
| Practice Telephone | 9072243490 |
| Practice Fax Number | 9072245870 |
| Mailing Telephone | 9072243490 |
| Mailing Fax Number | 9072245870 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1346 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CL3490 | 05 |
| Street Address |
201 3RD AVENUE SUITE 201 |
| City | SEWARD |
| State | AK |
| Zip Code | 99664-2088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851811327 | Katie Lynn Ernst | Nurse Practitioner | 201 3rd Avenue, Seward, AK 99664 | 2017-06-26 |
| 1447654405 | Jeffrey S Wolf | Community Health Worker | 201 3rd Avenue, Suite 201, Seward, AK 99664-2088 | 2014-10-20 |
| 1467722488 | Karen M Swearingen | Community Health Worker | 201 3rd Avenue, Suite 201, Seward, AK 99664-2088 | 2012-01-06 |
| 1013287283 | Angela C Mckinney | Dental Hygienist | 201 3rd Avenue, Suite 101, Seward, AK 99664-2088 | 2012-01-05 |
| 1750618856 | Chugachmiut | Community Health Worker | 201 3rd Avenue, Suite 201, Seward, AK 99664-2088 | 2009-11-10 |
| 1457510612 | Cynthia Langmade | Physician Assistant | 201 3rd Avenue, Suite 201, Seward, AK 99664-2088 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859566 | Benjamin David Sayers I | Behavior Technician | 508 Madison St., Seward, AK 99664 | 2020-10-20 |
| 1497373997 | Hilary Ann Acovak | Behavior Technician | 226 Brownell St., Seward, AK 99664 | 2020-07-10 |
| 1477182368 | Rebecca Snow | Behavior Technician | Seaview Community Services, 302 Railway Avenue, Seward, AK 99664 | 2020-04-03 |
| 1134764996 | Seaview Community Services | Community/Behavioral Health | 1400 Chamberlain St, Seward, AK 99664 | 2019-11-15 |
| 1811544638 | Melissa Sanders | Behavior Technician | 302 Railway, Seward, AK 99664 | 2019-08-26 |
| 1013403708 | Andra Dawn Woodard | Social Worker | 10599 Fox Cir, Seward, AK 99664 | 2018-07-05 |
| 1275020661 | Sarah Brooke Hermann | Massage Therapist | 500 Adams St. Suite 202, Seward, AK 99664 | 2018-04-20 |
| 1902352206 | Lacuna Family Medicine, Inc. | Clinic/Center | 204 4th Ave, Seward, AK 99664 | 2016-08-28 |
| 1992115893 | Carissa Whatmore | Social Worker | 302 Railway Ave., Seward, AK 99664 | 2014-04-30 |
| 1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
| Find all providers in zip 99664 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679637011 | Brent Alan Ursel | Physician Assistant | 11724 Seward Hwy, Ste D, Seward, AK 99664-9714 | 2006-12-20 |
| 1184790768 | Timothy W Johnson | Physician Assistant | 33280 Stoney Creek Ave, Seward, AK 99664-3633 | 2006-11-27 |
| 1841720513 | Miri Ann Pelc | Physician Assistant | 300 N Columbia Ave, Seward, NE 68434-2228 | 2017-06-15 |
| 1134558984 | Jeanette L Nienaber | Physician Assistant | 417 First Avenue, Seward, AK 99664 | 2013-11-02 |
| 1457510612 | Cynthia Langmade | Physician Assistant | 201 3rd Avenue, Suite 201, Seward, AK 99664-2088 | 2008-06-03 |
| 1720273295 | Rebecca Ivry Moore | Physician Assistant | 201 3rd Ave, Suite 201, Seward, AK 99664 | 2007-09-07 |
| 1942323779 | Glacier Family Medicine Clinic LLC | Physician Assistant | 11724 Seward Hwy, Ste D, Seward, AK 99664-9714 | 2007-04-08 |
| 1699845016 | Memorial Health Care Systems | Physician Assistant | 300 N Columbia Ave, Seward, NE 68434-2299 | 2006-11-09 |
| 1265511810 | Lecia A. Vitosh | Physician Assistant | 250 N Columbia Ave, Seward, NE 68434-2248 | 2006-11-03 |
| 1841252277 | Melissa Dawn Soester | Physician Assistant | 250 N Columbia Ave, Seward, NE 68434-2248 | 2006-04-03 |
| Find all providers in SEWARD | ||||
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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.