FRED P KOSKI (NPI# 1730742560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730742560 |
| Entity Type | Individual |
| Full Name | FRED P KOSKI |
| Credential | CDC-T |
| Practice Address |
230 E Marydale Ave Soldotna AK 99669-7648 |
| Mailing Address |
Po Box 3085 Soldotna AK 99669-3085 |
| Practice Telephone | 9072607345 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| 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 |
230 E MARYDALE AVE |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676502 | Susan J Holit | Nurse Practitioner | 230 E Marydale Ave, Suite 1, Soldotna, AK 99669-7636 | 2005-08-17 |
| 1700403235 | Abigail Jorgensen | Family Medicine | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2020-06-30 |
| 1770113193 | Kawal Jooma | Social Worker | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2020-01-24 |
| 1649810433 | Chad Andrews | Nurse Practitioner | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2020-01-09 |
| 1922651587 | Jenni Rachel Brighton | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-22 |
| 1639722895 | Jana Lynn Focose | Case Manager/Care Coordinator | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-17 |
| 1851943690 | Sherrie Barlow | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-11 |
| 1942852702 | Daniel Shane Hill | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-11 |
| 1144882606 | Jennifer Morris | Community Health Worker | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-05 |
| 1255993200 | Ashley Christine Wiedermann | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-06-30 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889351 | Deborah Diane Merritt | Counselor | 362 Tyee St, Soldotna, AK 99669-7631 | 2020-10-23 |
| 1417512625 | Danielle Marie Mcintosh | Counselor | 48948 Sirocco Dr, Soldotna, AK 99669-9386 | 2019-05-02 |
| 1477082410 | Lydia Anna Davis | Counselor | 198 W Marydale Ave, Soldotna, AK 99669-7501 | 2017-06-04 |
| 1295996858 | Colleen Nusbaum | Counselor | 224 Kenai Ave Ste 103, Soldotna, AK 99669-7647 | 2008-06-17 |
| 1982780391 | Lori A Nelson | Counselor | 40680 Huckabay, Soldotna, AK 99669-0680 | 2006-10-27 |
| 1124092655 | Evelyn Louise Clough | Counselor | 44539 Sterling Hwy, Suite 105, Soldotna, AK 99669-7938 | 2006-02-13 |
| 1568061265 | Jodi Lynn Lout | Counselor | 245 N Binkley St Ste 202, Soldotna, AK 99669-7500 | 2020-10-22 |
| 1134781461 | Brett James Toering | Counselor | 245 N Binkley St Ste 202, Soldotna, AK 99669-7500 | 2019-07-08 |
| 1770145922 | Jody Jo Asimakopoulos | Counselor | 245 N Binkley St Ste 202, Soldotna, AK 99669-7500 | 2019-07-08 |
| 1518529015 | Matthew James Lafrentz | Counselor | 354 Tyee St, Soldotna, AK 99669-7657 | 2019-07-03 |
| Find all providers in SOLDOTNA | ||||
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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.