RELL D STURDEVANT (NPI# 1750945317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750945317 |
| Entity Type | Individual |
| Full Name | RELL D STURDEVANT |
| Practice Address |
11267 W Big Dipper Dr Wasilla AK 99623-4914 |
| Practice Telephone | 9078417144 |
| Mailing Telephone | 9078417144 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11267 W BIG DIPPER DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963308 | Brittany Shawn Carie | Student in an Organized Health Care Education/Training Program | 2524 S Paddock Dr, Wasilla, AK 99654-8451 | 2020-08-21 |
| 1356999189 | Kara Lynn Boothby | Student in an Organized Health Care Education/Training Program | 1301 E Palmer Wasilla Hwy Ste 400, Wasilla, AK 99654-7257 | 2019-08-26 |
| 1013578962 | Whitney Kazmierczak | Student in an Organized Health Care Education/Training Program | 5851 E Mayflower Ct, Wasilla, AK 99654-7881 | 2019-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949622 | Adam Weis | Student in an Organized Health Care Education/Training Program | 3112 Airport Way Ste 1, Fairbanks, AK 99709-4768 | 2020-10-09 |
| 1669088860 | Roxie Powell | Student in an Organized Health Care Education/Training Program | 1205 E Intl Airport Rd Ste 100, Anchorage, AK 99518-1409 | 2020-09-22 |
| 1093330052 | Kathleen Hagan | Student in an Organized Health Care Education/Training Program | 307 Cascade St, Sitka, AK 99835-7140 | 2020-06-15 |
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1649808221 | Morgan Taylor Noad | Student in an Organized Health Care Education/Training Program | 11311 Pyramid Dr Apt 9, Anchorage, AK 99516-1368 | 2020-03-30 |
| 1346722279 | Kimberly Shriner | Student in an Organized Health Care Education/Training Program | 1970 Hollowell Rd, North Pole, AK 99705 | 2018-09-06 |
| 1063945871 | Ryah Mckinley | Student in an Organized Health Care Education/Training Program | 1040 Gilmore St, Fairbanks, AK 99701-4117 | 2017-04-07 |
| 1700231529 | Jun Yamamoto | Student in an Organized Health Care Education/Training Program | 217 Skyline Dr, Homer, AK 99603-9270 | 2016-04-29 |
| 1629438221 | Maria Zoe Sarah Corkery | Student in an Organized Health Care Education/Training Program | 3100 Channel Dr. Ste 300, Searhc, Juneau, AK 99801 | 2016-02-25 |
| 1669856928 | Sophie Howell | Student in an Organized Health Care Education/Training Program | 4325 Laurel St Ste 100and, Anchorage, AK 99508-5364 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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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.