TINA M TRABER (NPI# 1760653372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760653372 |
| Entity Type | Individual |
| Full Name | TINA M TRABER |
| Credential | N.P. |
| Practice Address |
1201 N Muldoon Rd Anchorage AK 99504-6104 |
| Mailing Address |
18914 2nd St Eagle River AK 99577-8348 |
| Practice Telephone | 9072573750 |
| Practice Fax Number | 9072577493 |
| Mailing Telephone | 7169829905 |
| Mailing Fax Number | 9072577493 |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2016-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F304807 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
104901 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE RAILROAD NUMBER | 1760653372 | 01 |
| Street Address |
1201 N MULDOON RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693586 | Joseph Vincent Pace | Psychiatry & Neurology | 1201 N Muldoon Rd, Sbhs, Anchorage, AK 99504-6104 | 2005-10-17 |
| 1124628110 | Kathryn May Fulmer | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2020-10-28 |
| 1073128575 | Priscilla Harris | Licensed Practical Nurse | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2020-09-11 |
| 1659912178 | Rachel Ellinger | Audiologist | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2019-10-06 |
| 1639729502 | Katherine Ellen Green | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2019-09-12 |
| 1801358916 | Jenise Lanae Perry | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2019-04-05 |
| 1750854493 | Elizabeth Marie Sobotka | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2019-01-04 |
| 1245701721 | Geraldine Marie Rouse | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2018-12-10 |
| 1851861561 | Erin Renae Picado | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2018-11-26 |
| 1780169094 | Michael Kristopher Frazier | Pharmacist | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073050373 | Brianna Clendenin | Nurse Practitioner | 800 Cordova St, Anchorage, AK 99501-3717 | 2017-01-24 |
| 1336289321 | Susan Oliver | Nurse Practitioner | 3760 Piper Street, Suite 1087, Anchorage, AK 99504 | 2007-02-07 |
| 1023072832 | Patricia Mcdonald | Nurse Practitioner | 3260 Providence Dr, Suite 425, Anchorage, AK 99508-4615 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635840 | Power of Wellness Health Services LLC | Nurse Practitioner | 3258 Tongass Ave., Ketchikan, AK 99901-6544 | 2019-08-22 |
| 1053505206 | Henrietta Emokidi | Nurse Practitioner | 11432 Business Blvd Ste 4, Eagle River, AK 99577 | 2007-08-30 |
| 1285833103 | All Seasons Family Health Care | Nurse Practitioner | 5461 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7817 | 2007-07-11 |
| 1528557683 | Sheena Eisen H Adrados | Nurse Practitioner | 7000 Uula St, Barrow, AK 99723 | 2018-05-04 |
| 1740785344 | Nova Wellness Solutions, LLC | Nurse Practitioner | 110 N Willow St Ste 130, Kenai, AK 99611-7797 | 2018-03-26 |
| 1275985152 | Monica Wyatt | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2016-07-05 |
| 1851532576 | Sabrina Sonia Yoder | Nurse Practitioner | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2009-03-09 |
| 1780855130 | All Seasons Family Healthcare LLC | Nurse Practitioner | 5461 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7817 | 2008-03-13 |
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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.