KELLY NICOLE ST. JOHN


Address: 4315 Diplomacy Dr, Anchorage, AK 99508-5926
Phone: 9077294750

KELLY NICOLE ST. JOHN (NPI# 1780912550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780912550
Entity Type Individual
Full Name KELLY NICOLE ST. JOHN
Other Name KELLY NICOLE CARR
Credential ACNP
Practice Address 4315 Diplomacy Dr
Anchorage
AK 99508-5926
Practice Telephone 9077294750
Practice Fax Number 9077291831
Mailing Telephone 9077294750
Mailing Fax Number 9077291831
Enumeration Date 2009-12-05
Last Update Date 2015-01-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
1118 AK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4315 DIPLOMACY DR
City ANCHORAGE
State AK
Zip Code 99508-5926

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972509669 Steven James Denson Chiropractor 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2005-06-27
1982202156 Christina Eldridge Pharmacist 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2020-10-11
1699393132 Southcentral Foundation Dentist 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2020-07-10
1699304725 Meghan Ballard Occupational Therapist 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2020-04-01
1922633650 Laura Cantrell Student in an Organized Health Care Education/Training Program 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2020-03-03
1609416064 Matthew Wade Nurse Anesthetist, Certified Registered 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2020-01-13
1407494677 Michael Bruce Preventive Medicine 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2019-12-18
1336787993 Korin Scott Occupational Therapist 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2019-12-13
1215578422 Andrew James Baker Registered Nurse 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2019-09-30
1861042749 Anthony Martin Physical Therapist 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2019-09-12
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023502606 Priya Keane Nurse Practitioner 3200 Providence Dr Ste 111, Anchorage, AK 99508-4662 2018-06-18
1184057044 Connie Falcon Pomerantz Nurse Practitioner 1301 Huffman Rd Ste 100, Anchorage, AK 99515-3568 2013-08-14
1750806915 Jorin K Calt Nurse Practitioner 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2017-08-09
1699189613 Linda Duwa Nurse Practitioner 3200 Providence Dr, Suite B111, Anchorage, AK 99508-4615 2014-06-18
1487996906 Reagan T. Skinner Nurse Practitioner 510 W Tudor Rd, Suite 5, Anchorage, AK 99503-6649 2013-03-22
1861745283 April J Dunlevy Nurse Practitioner 3841 Piper St, Suite T-100, Anchorage, AK 99508-4624 2012-10-23
1548518939 Kelly Michelle Reinhardt Nurse Practitioner 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2012-08-16
1245544394 Sarah Calvert Morehouse Nurse Practitioner 3200 Providence Dr, Anchorage, AK 99508 2010-07-31
1508199324 Joel E Reitz Nurse Practitioner 920 Compassion Cir, Anchorage, AK 99504-1645 2009-09-11
1922206887 Melissa Beth Huffman Nurse Practitioner 3200 Providence Dr, Anchorage, AK 99508-4615 2007-07-03
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Competitor

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City ANCHORAGE
Zip Code 99508

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Dataset Information

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.

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