SHAWN K GOGGINS (NPI# 1609395409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609395409 |
| Entity Type | Individual |
| Full Name | SHAWN K GOGGINS |
| Practice Address |
1423 Peger Road Fairbanks AK 99709 |
| Mailing Address |
1423 Peger Rd Fairbanks AK 99709-5169 |
| Practice Telephone | 9073711300 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1423 PEGER ROAD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709 |
| 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 |
| 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 |
| 1245449362 | David Kirk Smith | Chiropractor | 899 Chena Pump Road, Suite B, Fairbanks, AK 99709 | 2007-05-22 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674706 | Emily Low | Counselor | 1569 La Rue Ln, Fairbanks, AK 99709-6671 | 2020-03-18 |
| 1215578703 | Jesse Brooks | Counselor | 1203 26th Ave, Fairbanks, AK 99701-6832 | 2019-10-05 |
| 1548818008 | Tamela Eleasia Edwards | Counselor | 946 Cowles St Ste 106, Fairbanks, AK 99701-4381 | 2019-08-28 |
| 1538713946 | John Moses | Counselor | 4027 Birch Ln, Fairbanks, AK 99709-3517 | 2019-07-25 |
| 1124687140 | Galdys Duncan | Counselor | 122 1st Ave Ste 6001221, Fairbanks, AK 99701-4871 | 2019-06-12 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1851854798 | Siena Counseling, LLC | Counselor | 565 University Ave Ste 4, Fairbanks, AK 99709-3688 | 2019-04-08 |
| 1588134381 | Birch Tree Counseling LLC | Counselor | 600 University Ave Ste 6, Fairbanks, AK 99709-3651 | 2018-12-05 |
| 1669967451 | Jennifer Hood Lpc, LLC | Counselor | 626 2nd St Ste 103, Fairbanks, AK 99701-3466 | 2018-06-25 |
| 1922590918 | Kathryn Chatterton Mallory | Counselor | 318 Slater St, Fairbanks, AK 99701-2923 | 2018-06-05 |
| 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.