LACEY FISK (NPI# 1821521345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821521345 |
| Entity Type | Individual |
| Full Name | LACEY FISK |
| Practice Address |
1118 2nd Ave Fairbanks AK 99701-4228 |
| Practice Telephone | 9074566213 |
| Practice Fax Number | 9074525925 |
| Mailing Telephone | 9074566213 |
| Mailing Fax Number | 9074525925 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 120919 | AK | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457696288 | Lacey M. Fisk | Social Worker | 7818 Moline Rd, Webster, WI 54893-8545 | 2012-12-05 |
| Street Address |
1118 2ND AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003267295 | Catherine Swenson | Massage Therapist | 1118 2nd Ave, Fairbanks, AK 99701-4228 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114378031 | Thomas Walton | Specialist | 505 Illinois St Ste 4, Fairbanks, AK 99701-2946 | 2016-06-22 |
| 1386815678 | Interior Alaska Orthopedic & Sports Medicine Inc | Specialist | 2310 Peger Rd Ste 105, Fairbanks, AK 99709-5305 | 2008-03-14 |
| 1780875617 | Victoria L Ketchum | Specialist | E. Cowles, Fairbanks Memorial Hospital, Fairbanks, AK 99702 | 2007-08-06 |
| 1851596290 | Healthy Connections | Specialist | 530 7th Ave Ste 3, Fairbanks, AK 99701-4971 | 2007-06-16 |
| 1417159864 | William Robert Packee | Specialist | 709 Baffin Court, Fairbanks, AK 99701 | 2007-06-05 |
| 1396813762 | Jawana Jean Cox | Specialist | 654 Wagner Ln, Fairbanks, AK 99712-2827 | 2006-12-01 |
| 1609981265 | John W. Joosse | Specialist | 1411 19th Ave, Fairbanks, AK 99701-5902 | 2006-08-21 |
| 1649384744 | Kathie Lorraine Felker | Specialist | 515 7th Ave, Suite 130, Fairbanks, AK 99701-4933 | 2006-08-18 |
| 1619523438 | Lisa Marie Mcenulty | Specialist | 1027 Evergreen St, Fairbanks, AK 99709-4306 | 2019-08-16 |
| 1548814460 | Heidi Rosabelle Webb | Specialist | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2019-07-29 |
| Find all providers in FAIRBANKS | ||||
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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.