MR. CASEY BLOOD (NPI# 1396295374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396295374 |
| Entity Type | Individual |
| Full Name | MR. CASEY BLOOD |
| Credential | FNP |
| Practice Address |
1650 Cowles St Fairbanks AK 99701-5907 |
| Mailing Address |
Po Box 73720 Fairbanks AK 99707-3720 |
| Practice Telephone | 9074528181 |
| Practice Fax Number | 9074585151 |
| Mailing Telephone | 9074593500 |
| Mailing Fax Number | 9074593526 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN0178128 | CO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0993604-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 133 Ranch Rd, Canon City, CO 812129785 | 3034726424 |
| Street Address |
1650 COWLES ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077938 | Owen Quigley Hanley | Internal Medicine | 1650 Cowles St, Fairbanks, AK 99701-5998 | 2005-07-19 |
| 1083235212 | Heather Garman | Respiratory Therapist, Certified | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-04-28 |
| 1457982357 | Sarah Ollenburger | Dietitian, Registered | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-01-29 |
| 1972133619 | Amanda Ward | Registered Nurse | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-01-22 |
| 1568938975 | Jim Kirby Button | Pharmacist | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-10-23 |
| 1629559752 | Amber J Ross | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-08-27 |
| 1497255079 | Kimberly J Bilsky | Registered Nurse | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-02-20 |
| 1245730555 | Brittany Marie Hosler Belknap | Nurse Anesthetist, Certified Registered | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-02-14 |
| 1083128532 | Kaitlin M Roehl | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2017-11-20 |
| 1023548872 | Jeri A Reid | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535380 | Peter Harvey | Nurse Practitioner | 755 Knightsbridge Rd, Fairbanks, AK 99709-2477 | 2019-08-27 |
| 1942765052 | Jamie Marie Bourque | Nurse Practitioner | 1788 Yukon Drive, Fairbanks, AK 99775-5580 | 2019-02-02 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1134667165 | Lauren Westrom | Nurse Practitioner | 1587 Drouin Rd, Fairbanks, AK 99709-5953 | 2017-02-10 |
| 1811356330 | Joseph Grimes | Nurse Practitioner | 132 Foran Cir, Fairbanks, AK 99712-2404 | 2016-02-11 |
| 1922482330 | Anna Fath | Nurse Practitioner | 5165 Palo Verde Ave, Fairbanks, AK 99709-3130 | 2015-07-15 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1457490328 | Donna M Patrick | Nurse Practitioner | 612 N. Chandalar, Fairbanks, AK 99775-5580 | 2007-02-06 |
| 1841337334 | Nancy Prudence Bayer | Nurse Practitioner | 612 North Chandalar Ave, Fairbanks, AK 99775-5580 | 2007-01-31 |
| 1295769859 | Victoria Anne Wallace | Nurse Practitioner | 1931 Eagan Ave, Fairbanks Correctional Center, Fairbanks, AK 99701-5703 | 2006-07-10 |
| Find all providers in FAIRBANKS | ||||
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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.