JENNIFER ANN MCKINNON (NPI# 1396072245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396072245 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN MCKINNON |
| Credential | FNP |
| Practice Address |
3340 Providence Dr Ste 452 Anchorage AK 99508-4628 |
| Practice Telephone | 9075622120 |
| Practice Fax Number | 9075626527 |
| Mailing Telephone | 9075622120 |
| Mailing Fax Number | 9075626527 |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
353 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598051344 | Jennifer Jane Allen Mckinnon | Physical Therapist | 3606 Ne 57th St, Seattle, WA 98105-2239 | 2011-06-21 |
| 1164869566 | Jennifer Mckinnon | Optometrist | 1982 W Grand River Ave, Okemos, MI 48864-1736 | 2013-05-28 |
| 1548466311 | Jennifer Marie Mckinnon | Dietitian, Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2007-06-26 |
| 1013037118 | Jennifer Mckinnon | Registered Nurse | 153 Summer St, Providence, RI 02903-4011 | 2007-03-30 |
| Street Address |
3340 PROVIDENCE DR STE 452 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548376775 | Christine Ersland | Nurse Practitioner | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2006-08-21 |
| 1780221127 | Latouche Pediatrics, LLC | Clinic/Center | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2019-12-04 |
| 1497015838 | Cherie Wagahoft | Nurse Practitioner | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2012-05-18 |
| 1639285877 | Marianne Vonhippel | Pediatrics | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514647 | Kaveri Bharti | Nurse Practitioner | 2900 Morgan Loop, Anchorage, AK 99516-1427 | 2020-09-27 |
| 1831709070 | China Kay Larson | Nurse Practitioner | 9402 Endicott St, Anchorage, AK 99502-1342 | 2020-08-03 |
| 1144847021 | Stephanie Anne Olah Packard | Nurse Practitioner | 6929 Crawford St, Anchorage, AK 99502-2728 | 2020-06-26 |
| 1811541790 | Mia Carlos Camaquin | Nurse Practitioner | 3900 Ambassador Dr Ste 3000, Anchorage, AK 99508-5922 | 2019-07-29 |
| 1275099632 | Marisa C Bune | Nurse Practitioner | 615 E 82nd Ave Ste 302, Anchorage, AK 99518-3159 | 2019-02-11 |
| 1518478569 | Alyeska Medical Staffing | Nurse Practitioner | 12201 Industry Way Ste 4, Anchorage, AK 99515-4316 | 2017-10-17 |
| 1902317035 | Julie Kane | Nurse Practitioner | 4361 Boniface Pkwy Ste 2, Anchorage, AK 99504-4314 | 2017-10-16 |
| 1215458682 | Kimberly Carter | Nurse Practitioner | 4120 Defiance St, Anchorage, AK 99504-4399 | 2017-07-06 |
| 1144763160 | Marina Nedom | Nurse Practitioner | 2501 Brooke Dr, Anchorage, AK 99517-1252 | 2016-11-22 |
| 1427506054 | Jessica Davis | Nurse Practitioner | 1824 Dimond Dr, Anchorage, AK 99507-1308 | 2016-09-12 |
| 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.