KELANI SHANER (NPI# 1316396302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316396302 |
| Entity Type | Individual |
| Full Name | KELANI SHANER |
| Credential | LMT |
| Practice Address |
3750 E Country Field Cir Wasilla AK 99654-6659 |
| Mailing Address |
Po Box 879674 Wasilla AK 99687-9674 |
| Practice Telephone | 9073767334 |
| Mailing Telephone | 9073120940 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 104003 | AK | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 N Main St, Wasilla, AK 996547017 | 9073768020 |
| Street Address |
3750 E COUNTRY FIELD CIR |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-6659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811942741 | Megan Ciana | Physical Therapist | 3750 E Country Field Cir, Wasilla, AK 99654-6689 | 2006-05-22 |
| 1376921239 | Tracey Oliver | Nurse Practitioner | 3750 E Country Field Cir, Suite D, Wasilla, AK 99654-6659 | 2015-05-12 |
| 1841405883 | Carole Suzanne Ruegsegger | Internal Medicine | 3750 E Country Field Cir, Unit B, Wasilla, AK 99654-6689 | 2007-05-12 |
| 1700907367 | Alice Jean Holinger | Physical Therapist | 3750 E Country Field Cir, #a, Wasilla, AK 99654-6689 | 2007-04-02 |
| 1275663577 | Glenn L Brown | Physical Therapist | 3750 E Country Field Cir, Unit A, Wasilla, AK 99654-6689 | 2007-03-06 |
| 1467523779 | Pan Alaska Physical Therapy, Inc. | Physical Therapist | 3750 E Country Field Cir, Suite A, Wasilla, AK 99654-6689 | 2006-11-10 |
| 1992898951 | Garrick Dick Herr | Physical Therapist | 3750 E Country Field Cir, Wasilla, AK 99654-6689 | 2006-10-02 |
| 1710915590 | Shawn Daniel Butler | Physical Therapist | 3750 E Country Field Cir, Unit A, Wasilla, AK 99654-6689 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497202279 | Devan Clark | Specialist | 3540 N Snow Goose Dr, Wasilla, AK 99654-2505 | 2016-09-08 |
| 1114323227 | Amy Mclane | Specialist | 2801 E Palmer Wasilla Hwy Ste C, Wasilla, AK 99654-7339 | 2014-11-17 |
| 1003111089 | Meda Ferrenburg | Specialist | 4420 E Grumman Cir, Wasilla, AK 99654-4363 | 2011-01-21 |
| 1679737589 | Howling Down The Moon | Specialist | 1375 E Parks Hwy Ste A, Wasilla, AK 99654-8288 | 2008-07-10 |
| 1508089046 | Medical Network of Alaska, LLC | Specialist | 3122 E Meridian Park Loop, Wasilla, AK 99654-7255 | 2007-04-11 |
| 1538206164 | Jeffrey L Sponsler | Specialist | 4551 E Bogard Rd, Wasilla, AK 99654-6075 | 2007-01-31 |
| 1154418945 | Charles D. Layman | Specialist | 5050 Dunbar Drive, Suite D, Wasilla, AK 99654 | 2006-10-05 |
| 1649714353 | Tabatha Miller | Specialist | 436 N Main St, Wasilla, AK 99654-7018 | 2016-12-14 |
| 1699218651 | Wendy Denise Stover | Specialist | 436 N Main St, Wasilla, AK 99654-7018 | 2016-11-23 |
| 1639625957 | Candice Hilty | Specialist | 300 Main St, Wasilla, AK 99654 | 2016-08-28 |
| Find all providers in WASILLA | ||||
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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.