GEORGIANA BRENNEN (NPI# 1467907634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467907634 |
| Entity Type | Individual |
| Full Name | GEORGIANA BRENNEN |
| Practice Address |
1314 Viewpointe Dr Fairbanks AK 99709-6745 |
| Practice Telephone | 9074796742 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 112406 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1314 VIEWPOINTE DR |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-6745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| 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 |
|---|---|---|---|---|
| 1790397461 | Hannah S Ross | Massage Therapist | 776 Bullion Dr, Fairbanks, AK 99712-2035 | 2020-08-23 |
| 1568013530 | Barbara Eleanor Carlin | Massage Therapist | 3030 Riverview Dr, Fairbanks, AK 99709-4735 | 2019-09-21 |
| 1295216687 | Janet Lynn Juenke | Massage Therapist | 615 O'leary Rd, Fairbanks, AK 99712 | 2018-08-24 |
| 1164911905 | Sonja A. Stovall | Massage Therapist | 565 University Ave Ste 1, Fairbanks, AK 99709-3687 | 2018-05-08 |
| 1104333665 | Maria Stoianova Terziyska | Massage Therapist | 250 Cushman St Ste 2a, Fairbanks, AK 99701-4665 | 2018-01-05 |
| 1730618422 | Melody Waldroup | Massage Therapist | 845 Birch Hill Rd, Fairbanks, AK 99712 | 2017-06-07 |
| 1457886038 | Cheri Ward | Massage Therapist | 1716 University Ave S Ste 201, Fairbanks, AK 99709-4904 | 2017-04-20 |
| 1437699097 | Svetlana Malyk | Massage Therapist | 600 3rd St Ste 200, Fairbanks, AK 99701-3569 | 2017-03-01 |
| 1801344577 | Cean Whitmarsh | Massage Therapist | 751 Old Richardson Hwy Ste 101, Fairbanks, AK 99701-7802 | 2016-09-12 |
| 1912358920 | Signe Brunner | Massage Therapist | 703 Fulton St, Fairbanks, AK 99701-3039 | 2016-06-30 |
| 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.