MRS. DEBRA ANN TOLLIVER (NPI# 1760726806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760726806 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA ANN TOLLIVER |
| Other Name | MS. DEBRA ANN ELLIOTT |
| Credential | LPC, CDCI |
| Practice Address |
4050 Lake Otis Pkwy Ste. 103 Anchorage AK 99508-5223 |
| Practice Telephone | 9073176306 |
| Mailing Telephone | 9073176306 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2016-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | PCOP823 | AK | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
PCOP823 | AK | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PCOP823 | AK | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
PCOP823 | AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326100272 | Debra Y Tolliver | Specialist | 1349 S Farm Road 199, Springfield, MO 65809-3346 | 2006-12-15 |
| Street Address |
4050 LAKE OTIS PKWY STE. 103 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831145929 | Mahmood Ahmad | Anesthesiology | 4050 Lake Otis Pkwy, Suite 107, Anchorage, AK 99508-5223 | 2006-05-26 |
| 1639545817 | Dyann Vandaff | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 105, Anchorage, AK 99508-5223 | 2015-08-11 |
| 1982096806 | Listen2learn Speech Therapy LLC | Speech-Language Pathologist | 4050 Lake Otis Pkwy, 201, Anchorage, AK 99508-5223 | 2015-03-02 |
| 1427440387 | Colleen Bridget Hill | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 201, Anchorage, AK 99508-5223 | 2015-03-02 |
| 1962804518 | Ppgnw - Alaska | Family Medicine | 4050 Lake Otis Pkwy, Suite 205, Anchorage, AK 99508-5223 | 2014-09-25 |
| 1528317260 | Marie Nicole Kenworthy | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Time for Speech, Anchorage, AK 99508 | 2012-09-07 |
| 1194071241 | Annie Dunnack | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 201, Anchorage, AK 99508-5223 | 2012-07-26 |
| 1285912758 | Shannon W Lamm | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 105, Anchorage, AK 99508-5223 | 2011-08-01 |
| 1740589902 | Jacqueline Suzanne Hand | Mechanotherapist | 4050 Lake Otis Pkwy, Suite # 207, Anchorage, AK 99508-5223 | 2011-03-26 |
| 1598066359 | Angie Marie Tolbert | Registered Nurse | 4050 Lake Otis Pkwy, 110, Anchorage, AK 99508-5223 | 2010-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446182 | Anna Marie Luiken | Counselor | 1009 Fred Cir, Anchorage, AK 99515-2654 | 2020-10-29 |
| 1417569963 | Kristina Lynn Hentges | Counselor | 5131 Manytell Ave, Anchorage, AK 99516-4271 | 2020-08-17 |
| 1730745878 | Harsimranjeet Minhas | Counselor | 1040 1/2 W 19th Ave, Anchorage, AK 99503-1707 | 2019-05-14 |
| 1477118354 | Wesley Frank Brewington | Counselor | 3600 San Jeronimo Dr # 210, Anchorage, AK 99508-2870 | 2019-05-06 |
| 1003382706 | Rebecca Ann Shestakov | Counselor | 6952 Cutty Sark St, Anchorage, AK 99502-2809 | 2018-10-19 |
| 1952887960 | Joy Knight | Counselor | 6927 Old Seward Hwy Ste 201, Anchorage, AK 99518-2284 | 2018-07-12 |
| 1174031561 | Leslie Michelle Robertson | Counselor | 5138 Strawberry Rd, Anchorage, AK 99502-1921 | 2018-01-19 |
| 1770098972 | Wendi Joy Compton | Counselor | 810 W 2nd Ave, Anchorage, AK 99501-2018 | 2017-12-10 |
| 1780194019 | Mary Bartell | Counselor | 307 E Northern Lights Blvd Ste 101, Anchorage, AK 99503-2701 | 2017-09-30 |
| 1770017410 | Sayaka Maas | Counselor | 207 E Northern Lights Blvd Ste 125, Anchorage, AK 99503-2777 | 2017-04-19 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on MRS. DEBRA ANN TOLLIVER.
| 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.