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).
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 |
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 |
Street Address |
4315 DIPLOMACY DR |
City | ANCHORAGE |
State | AK |
Zip Code | 99508-5926 |
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 |
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 | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
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 |
Find all providers in ANCHORAGE |
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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.