MINDY TROZELLE (NPI# 1598289670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598289670 |
Entity Type | Individual |
Full Name | MINDY TROZELLE |
Credential | SLPA |
Practice Address |
721 Stedman St Ketchikan AK 99901-6632 |
Mailing Address |
Po Box 420 Craig AK 99921-0420 |
Practice Telephone | 9078263891 |
Mailing Telephone | 9078263891 |
Mailing Fax Number | 9078263892 |
Enumeration Date | 2017-07-31 |
Last Update Date | 2017-07-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
124009 | AK | Speech, Language and Hearing Service Providers |
Street Address |
721 STEDMAN ST |
City | KETCHIKAN |
State | AK |
Zip Code | 99901-6632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356434542 | Terry Wayne Fouts | Social Worker | 721 Stedman St, Ketchikan, AK 99901-6632 | 2006-10-02 |
1568061232 | Community Connections | Community/Behavioral Health | 721 Stedman St, Ketchikan, AK 99901-6632 | 2020-10-22 |
1720519663 | Cecilia Chandler | Speech-Language Pathologist | 721 Stedman St, Ketchikan, AK 99901-6632 | 2017-03-22 |
1710418769 | Karen Stafford | Speech-Language Pathologist | 721 Stedman St, Ketchikan, AK 99901-6632 | 2017-03-22 |
1164877437 | Rebecca Moon | Counselor | 721 Stedman St, Ketchikan, AK 99901-6632 | 2016-04-25 |
1952713430 | Kathleen Kloep | Case Manager/Care Coordinator | 721 Stedman St, Ketchikan, AK 99901-6632 | 2014-06-02 |
1861804338 | Sharyl Yeisley | Case Manager/Care Coordinator | 721 Stedman St, Ketchikan, AK 99901-6632 | 2014-06-02 |
1780010041 | Jordan Tabb | Social Worker | 721 Stedman St, Ketchikan, AK 99901-6632 | 2013-09-18 |
1093998163 | Community Connections | Home Health | 721 Stedman St, Ketchikan, AK 99901-6632 | 2007-12-12 |
1801079975 | Community Connections | Early Intervention Provider Agency | 721 Stedman St, Ketchikan, AK 99901-6632 | 2007-12-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
Find all providers in zip 99901 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
1144609967 | Andrea Lynne Swanson | Specialist/Technologist | 1630 W Riffle St, Wasilla, AK 99654-0910 | 2015-05-26 |
1770841090 | Janet Dougherty | Specialist/Technologist | 15815 Noble Point Dr, Anchorage, AK 99516-7552 | 2012-04-24 |
1114208881 | Faith Ridgway | Specialist/Technologist | 2150 E Dowling Rd, Suite C, Anchorage, AK 99507-1980 | 2011-09-07 |
1477844967 | Matthew Abelino Sandoval | Specialist/Technologist | 6340 Newt Dr, Anchorage, AK 99507-2047 | 2011-05-02 |
1154502565 | Lea Dawn Everson | Specialist/Technologist | 982 Lakloey Dr, North Pole, AK 99705-5356 | 2007-11-14 |
1134759723 | Amy Hagen | Specialist/Technologist | 35105 Kenai Spur Hwy Ste A, Soldotna, AK 99669-7658 | 2020-01-22 |
1245886720 | Erin Michelle John | Specialist/Technologist | 1901 N Hemmer Rd Ste 109, Palmer, AK 99645-9690 | 2019-08-12 |
1437618667 | Jennifer Marie Carlson | Specialist/Technologist | 613 S Knik Goose Bay Rd Ste B, Wasilla, AK 99654-8090 | 2019-03-18 |
1154891539 | T'essa Lanae Blossom | Specialist/Technologist | 35105 Kenai Spur Hwy Ste A, Soldotna, AK 99669-7658 | 2018-11-28 |
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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.