BEACON MONITORING (NPI# 1639576242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639576242 |
| Entity Type | Organization |
| Organization Name | BEACON MONITORING |
| Practice Address |
1650 Cowles St Fairbanks AK 99701-5907 |
| Mailing Address |
530 Knightsbridge Rd Fairbanks AK 99709-2468 |
| Practice Telephone | 9074528181 |
| Mailing Telephone | 5599052736 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | DR. BRENT JOSEPH TYLER (OWNER) |
| Authorized Official Telephone | 5599052736 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1650 COWLES ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077938 | Owen Quigley Hanley | Internal Medicine | 1650 Cowles St, Fairbanks, AK 99701-5998 | 2005-07-19 |
| 1083235212 | Heather Garman | Respiratory Therapist, Certified | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-04-28 |
| 1457982357 | Sarah Ollenburger | Dietitian, Registered | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-01-29 |
| 1972133619 | Amanda Ward | Registered Nurse | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-01-22 |
| 1568938975 | Jim Kirby Button | Pharmacist | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-10-23 |
| 1629559752 | Amber J Ross | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-08-27 |
| 1497255079 | Kimberly J Bilsky | Registered Nurse | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-02-20 |
| 1245730555 | Brittany Marie Hosler Belknap | Nurse Anesthetist, Certified Registered | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-02-14 |
| 1083128532 | Kaitlin M Roehl | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2017-11-20 |
| 1023548872 | Jeri A Reid | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873440 | Tamara Wilson | Specialist/Technologist, Other | 2310 Peger Rd Ste 106, Fairbanks, AK 99709-5305 | 2017-07-11 |
| 1649623968 | Kyle Bryant Smith | Specialist/Technologist, Other | 825 9th Ave Apt 2, Fairbanks, AK 99701-4408 | 2016-07-21 |
| 1639597727 | Brent Tyler | Specialist/Technologist, Other | 2733 Doreen Ct, Fairbanks, AK 99709-2424 | 2014-04-04 |
| 1427380278 | Western Colorado Technical Neuromonitoring, LLC | Specialist/Technologist, Other | 2580 Allen Adale Rd, Fairbanks, AK 99709-2580 | 2010-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665280 | Alaska Monitoring Associates, Inc. | Specialist/Technologist, Other | 11641 Woodbourne Dr, Anchorage, AK 99516-1279 | 2020-09-25 |
| 1295374510 | Alaska Professional Neuromonitoring, LLC | Specialist/Technologist, Other | 10672 Kenai Spur Highway, Suite 112 -132, Kenai, AK 99611-9961 | 2020-01-03 |
| 1376976092 | Rebecca Jane Webster | Specialist/Technologist, Other | 3732 Deborah Ln, Anchorage, AK 99504-4603 | 2013-08-16 |
| 1437400132 | Mitchel Paul Lepschat | Specialist/Technologist, Other | 7441 Timberwolf Cir, Anchorage, AK 99507-4812 | 2012-09-21 |
| 1841839164 | Alaska Technical Neuromonitoring. LLC | Specialist/Technologist, Other | 10672 Kenai Spur Highway, Suite 112-132, Kenai, AK 99611-9961 | 2020-01-03 |
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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.