SHANNON MARIE KLESCEWSKI (NPI# 1649892092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649892092 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE KLESCEWSKI |
| Practice Address |
607 Division St. Nome AK 99762 |
| Mailing Address |
Po Box 966 Nome AK 99762-0966 |
| Practice Telephone | 9074434520 |
| Practice Fax Number | 9074435915 |
| Mailing Telephone | 9074434520 |
| Mailing Fax Number | 9074435915 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
607 DIVISION ST. |
| City | NOME |
| State | AK |
| Zip Code | 99762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083838379 | Michael Joseph Walker | Counselor | 607 Division St., Nome, AK 99762 | 2007-04-11 |
| 1467079525 | Gwendolyn Spencer Barnhart | Counselor | 607 Division St., Nome, AK 99762 | 2020-07-06 |
| 1235781402 | Sharon M. Houlahan | Counselor | 607 Division St., Nome, AK 99762 | 2019-07-09 |
| 1104478379 | Sara Francesca Garavuso | Counselor | 607 Division St., Nome, AK 99762 | 2019-07-09 |
| 1700448370 | Katie Antill | Registered Nurse | 607 Division St., Nome, AK 99762 | 2019-07-03 |
| 1124568639 | Sherri J Anderson | Counselor | 607 Division St., Nome, AK 99762-0966 | 2017-03-02 |
| 1700323433 | Rhianna Schell | Counselor | 607 Division St., Nome, AK 99762 | 2017-01-19 |
| 1073909834 | Marscleite Smith | Registered Nurse | 607 Division St., Nome, AK 99762 | 2015-04-08 |
| 1871987263 | Benjamin Schmid | Registered Nurse | 607 Division St., Nome, AK 99762 | 2015-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030773 | Aura Chasteen | Counselor | 907 Division Street, Nome, AK 99762 | 2020-07-09 |
| 1043858210 | Nome Public Schools | Point of Service | 2920 3.5 Nome-teller Hwy, Nome, AK 99762 | 2019-12-18 |
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1891296489 | Yonaton Sahar Davidson | Counselor | Nome Community Center, Nome, AK 99762 | 2018-02-28 |
| 1588186605 | Jennifer R Dean-johnson | Case Manager/Care Coordinator | 1000 Greg Kruschev, Nome, AK 99762 | 2017-07-11 |
| 1457717340 | Kristy Kunayak | Community Health Worker | Front Street 7059, Little Diomede, AK 99762 | 2016-01-07 |
| 1265828743 | Diane Paniptchuk | Community Health Worker | 1000 Kruschak Ave, Nome, AK 99762 | 2015-04-10 |
| 1710384185 | Helen M Eningowuk | Community Health Worker | 1000 Greg Kruscheck Ave, Nome, AK 99762 | 2014-12-01 |
| 1194122671 | Crystal Lynn Fagerstrom | Community Health Worker | 39 Punguk Street, Golovin, AK 99762 | 2014-11-26 |
| 1699187161 | Cynthia Barrand | Counselor | 1000 Greg Kruscheck, Nome, AK 99762 | 2014-06-02 |
| Find all providers in zip 99762 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699187161 | Cynthia Barrand | Counselor | 1000 Greg Kruscheck, Nome, AK 99762 | 2014-06-02 |
| 1881901411 | Sherry Kulukhon | Counselor | 306 W, 5th Avenue, Nome, AK 99762-0966 | 2010-09-02 |
| 1346572096 | Duane Howard Lincoln | Counselor | 306 West Ave, Nome, AK 99762-0966 | 2010-02-05 |
| 1649502329 | Lucy Apatiki | Counselor | 306 West Avenue, Nome, AK 99762-0966 | 2010-02-05 |
| 1649501255 | Teresa Jane Cross | Counselor | 306 W. 5th Ave and Bering, Nome, AK 99762-0966 | 2010-01-21 |
| 1942420385 | Ursula Bridgett Lyon | Counselor | 306 West Fifth Ave., Nome, AK 99762 | 2007-04-26 |
| 1881755882 | Ruth Allene Morton | Counselor | 306 Fifth Ave. West, Nome, AK 99762 | 2006-12-13 |
| 1780217844 | Hannah Marie Schnaidt | Counselor | 607 Division Street, Nome, AK 99762 | 2020-02-18 |
| 1578112629 | Jeffrey Lee Rose | Counselor | 607 Division Street, Nome, AK 99762-0966 | 2019-09-10 |
| 1083127435 | Penny Lynn Schaeffer | Counselor | 607 Division Street, Nome, AK 99762 | 2017-11-08 |
| Find all providers in NOME | ||||
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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.