CHRISTIAN KELLY FOLDENAUER (NPI# 1528665536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528665536 |
| Entity Type | Individual |
| Full Name | CHRISTIAN KELLY FOLDENAUER |
| Practice Address |
43335 K Beach Rd Ste 36 Soldotna AK 99669-8280 |
| Practice Telephone | 9072626331 |
| Mailing Telephone | 9072626331 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
43335 K BEACH RD STE 36 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-8280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972703866 | Kandice Hightower | Case Manager/Care Coordinator | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2007-07-19 |
| 1235737107 | Katherine R Flanders | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-13 |
| 1013515386 | Nicholas Kolanach | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-09 |
| 1104423466 | Lars Richard Russell | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-08 |
| 1497352231 | Pierce James Svec | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-05 |
| 1174120984 | Ronald Paul | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-05 |
| 1710584727 | Amanda Starr-marrie Wilcox | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-02 |
| 1720685738 | Christina Wells | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-02 |
| 1457968620 | Isaac A Cryer | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-09-30 |
| 1982211389 | Georganne Roberts | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-09-29 |
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| 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 |
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| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395885 | Troy Lee Bailey | Peer Specialist | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-28 |
| 1770180192 | Nicole Marcano | Peer Specialist | 43335 K Beach Rd, Soldotna, AK 99669-8280 | 2020-10-08 |
| 1497352231 | Pierce James Svec | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-05 |
| 1174120984 | Ronald Paul | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-05 |
| 1710584727 | Amanda Starr-marrie Wilcox | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-02 |
| 1720685738 | Christina Wells | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-02 |
| 1902413339 | Carrollynn Cecelia Peterson | Peer Specialist | 43335 Kalifornsky Beach Rd, Soldotna, AK 99669-8280 | 2020-09-29 |
| 1487261582 | Christina Marie Svec | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998223 | Patricia Main | Peer Specialist | 2601 W 34th Ave Apt 7, Anchorage, AK 99517-2142 | 2020-10-07 |
| 1215552526 | Joshua Dee Engle | Peer Specialist | 1419 S Kittiwake St, Wasilla, AK 99623-9302 | 2020-06-11 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1699399303 | Jennifer Benton | Peer Specialist | 11932 Town Park Cir, Eagle River, AK 99577-7788 | 2020-05-29 |
| 1104449800 | Aubrey Danielle Cave | Peer Specialist | 5752 W Kranberry Ln, Wasilla, AK 99623-1050 | 2020-05-28 |
| 1811534803 | Colleen H Ward-wilson | Peer Specialist | 3600 San Jeronimo Dr Ste 300, Anchorage, AK 99508-2870 | 2019-12-09 |
| 1538701222 | Betty Jo Shepherd-hebb | Peer Specialist | 4110 Debarr Rd Spc G17, Anchorage, AK 99508-3176 | 2019-10-14 |
| 1629610563 | Mikko Joseph Barribeau | Peer Specialist | 2762 N Azurite Cir, Wasilla, AK 99654-4540 | 2019-10-11 |
| 1194366088 | Matalena Suitupe Lokeni | Peer Specialist | 7650 Mayfair Dr Apt C, Anchorage, AK 99502-7212 | 2019-10-02 |
| 1285280784 | Zoe Dixon | Peer Specialist | 15765 Kingsley Rd, Ninilchik, AK 99639 | 2019-08-12 |
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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.