JESSICA SMALL (NPI# 1447613716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447613716 |
| Entity Type | Individual |
| Full Name | JESSICA SMALL |
| Credential | LMT |
| Practice Address |
102 E Redoubt Ave Soldotna AK 99669-8012 |
| Practice Telephone | 9072629117 |
| Practice Fax Number | 9072603358 |
| Mailing Telephone | 9072629117 |
| Mailing Fax Number | 9072603358 |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2016-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 101912 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184027807 | Jessica Small | Licensed Practical Nurse | 107 B Fahm St, Savannah, GA 31401 | 2014-10-08 |
| 1497178883 | Jessica Small | Marriage & Family Therapist | 10955 Westmoor Dr, Westminster, CO 80021-2704 | 2014-01-21 |
| 1033540687 | Jessica Demerise Small | Counselor | 202 Exchange St, Bangor, ME 04401-6508 | 2013-12-09 |
| 1336481035 | Jessica Ann Small | Pharmacist | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2013-03-20 |
| 1063675510 | Jessica Mehring Small | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2008-07-04 |
| 1699736587 | Jessica Small | Family Medicine | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2006-03-30 |
| Street Address |
102 E REDOUBT AVE |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-8012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790762003 | Anthony Endsley | Chiropractor | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2005-12-28 |
| 1144796467 | Carolanne Millington | Massage Therapist | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2018-10-15 |
| 1760907745 | Logan Simons | Massage Therapist | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2017-08-10 |
| 1902354962 | Luke Waack | Chiropractor | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2016-09-19 |
| 1205288032 | Jaselle Rutten | Massage Therapist | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2016-07-05 |
| 1417316811 | Susan Endsley | Massage Therapist | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2016-02-15 |
| 1790143287 | Kenneth Paul Nutter Jr. | Chiropractor | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2016-01-29 |
| 1053716902 | Center for Practical Medicine Inc | Physician Assistant | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2014-11-04 |
| 1417248717 | Soldotna Chiropractic Clinic Inc | Chiropractor | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2011-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831661305 | Wendy Marie Hansen-newby | Massage Therapist | 34851 Kenai Spur Hwy Ste 2, Soldotna, AK 99669-7646 | 2018-12-21 |
| 1912355009 | Sterling Rasmussen | Massage Therapist | 189 S Binkley St Ste 101, Soldotna, AK 99669-8061 | 2016-05-30 |
| 1184967259 | Tracy Danielle Pitts | Massage Therapist | 362 Tyee Street, Soldotna, AK 99669 | 2013-03-27 |
| 1073755237 | Rosemarie Waters | Massage Therapist | 315 S. Kobuk St., Suite #2, Soldotna, AK 99669 | 2009-04-01 |
| 1700499860 | Andrea Neal Lane | Massage Therapist | 33870 Polar St, Soldotna, AK 99669-9251 | 2020-08-28 |
| 1760007157 | Trina Louise Sugg | Massage Therapist | 33870 Polar St, Soldotna, AK 99669-9251 | 2020-06-11 |
| 1679196141 | Shyanne Payment | Massage Therapist | 33870 Polar St, Soldotna, AK 99669-9251 | 2020-05-19 |
| 1093287146 | Anastasia Christoffersen | Massage Therapist | 35670 Kenai Spur Hwy Ste 104, Soldotna, AK 99669-7649 | 2018-12-28 |
| 1144796467 | Carolanne Millington | Massage Therapist | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2018-10-15 |
| 1053895979 | Hannah Bryn Katzenberger | Massage Therapist | 33870 Polar St, Soldotna, AK 99669-9251 | 2018-09-17 |
| Find all providers in SOLDOTNA | ||||
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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.