DR. BETTY JANE ALDRICH (NPI# 1528105400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528105400 |
| Entity Type | Individual |
| Full Name | DR. BETTY JANE ALDRICH |
| Credential | MD |
| Practice Address |
612 N. Chandalar Dr. Fairbanks AK 99775-5580 |
| Mailing Address |
Po Box 755580 Fairbanks AK 99775-5580 |
| Practice Telephone | 9074747043 |
| Practice Fax Number | 9074745777 |
| Mailing Telephone | 9074747043 |
| Mailing Fax Number | 9074745777 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4140 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD0494 | 05 |
| Street Address |
612 N. CHANDALAR DR. |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99775-5580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043358062 | University of Alaska Fairbanks Center for Health & Counseling | Clinic/Center | 612 N. Chandalar Dr., Fairbanks, AK 99775-5580 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001719 | Brown Bear Behavioral Consulting | Behavioral Analyst | 1806 Colville Street #6, Fairbanks, AK 99775-0001 | 2018-01-12 |
| 1942765052 | Jamie Marie Bourque | Nurse Practitioner | 1788 Yukon Drive, Fairbanks, AK 99775-5580 | 2019-02-02 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225781 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 44 College Rd Ste B, Fairbanks, AK 99701-1706 | 2020-11-02 |
| 1073113874 | Harmony Speech and Language Therapy | Speech-Language Pathologist | 3891 Ridgeview Dr, Fairbanks, AK 99709-2717 | 2020-10-30 |
| 1356949622 | Adam Weis | Student in an Organized Health Care Education/Training Program | 3112 Airport Way Ste 1, Fairbanks, AK 99709-4768 | 2020-10-09 |
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1104439512 | Maggie Wright Slp, LLC | Speech-Language Pathologist | 1222 Well St Unit 8/9, Fairbanks, AK 99701-2881 | 2020-08-25 |
| 1790397461 | Hannah S Ross | Massage Therapist | 776 Bullion Dr, Fairbanks, AK 99712-2035 | 2020-08-23 |
| 1104438365 | Jalon Alexander Mccullough | Counselor | 542 4th Ave Ste B-101, Fairbanks, AK 99701-4707 | 2020-08-19 |
| 1134739485 | Alcan Medical Group LLC | 751 Old Richardson Hwy Ste 203, Fairbanks, AK 99701-7805 | 2020-08-02 | |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| Find all providers in FAIRBANKS | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780704494 | Midnight Sun Family Medicine, PC | Family Medicine | 475 Riverstone Way, # 5, Fairbanks, AK 99709-2945 | 2007-03-29 |
| 1689768905 | Amber N Figueroa | Family Medicine | 1001 Noble St Ste 1, Fairbanks, AK 99701-4991 | 2006-10-03 |
| 1952316630 | June M Thomasson | Family Medicine | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2006-07-30 |
| 1235144916 | Jana K Mcaninch | Family Medicine | 2050 Cripple Creek Rd, Fairbanks, AK 99709-2201 | 2006-07-30 |
| 1366462889 | Michael Fitch | Family Medicine | 1717 West Cowles Street, Fairbanks, AK 99701 | 2006-07-20 |
| 1124050299 | S Gayle Hornberger | Family Medicine | 4474 Pikes Landing Rd, Fairbanks, AK 99709-4618 | 2006-07-07 |
| 1598792384 | Mark R Miles | Family Medicine | 1875 University Ave S, Unit 1, Fairbanks, AK 99709-4906 | 2006-06-27 |
| 1427085711 | Peter A De Schweinitz | Family Medicine | 1408 19th Ave., Fairbanks, AK 99701 | 2006-06-26 |
| 1679548002 | Clarice Grandpre | Family Medicine | 995 Ellesmere Dr, Fairbanks, AK 99709-5759 | 2006-02-20 |
| 1841281847 | Gerald L Springer | Family Medicine | 3825 Venture Ln, Fairbanks, AK 99709-2723 | 2005-10-31 |
| 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.