AWAKEN JOY LLC


Address: 565 University Ave Ste 1, Fairbanks, AK 99709-3687
Phone: 9073280820

AWAKEN JOY LLC (NPI# 1861976177) 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) 1861976177
Entity Type Organization
Organization Name AWAKEN JOY LLC
Practice Address 565 University Ave Ste 1
Fairbanks
AK 99709-3687
Practice Telephone 9073280820
Practice Fax Number 9073280850
Mailing Telephone 9073280820
Mailing Fax Number 9073280850
Enumeration Date 2018-09-21
Last Update Date 2018-09-21
Authorized Official Name SUSANA JOY DONOFRY (MANAGING MEMBER)
Authorized Official Telephone 9073280820
Authorized Official Credential DNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Awaken Joy LLC 2005 South Garfield Ave, Loveland, CO 80537

Office Location

Street Address 565 UNIVERSITY AVE STE 1
City FAIRBANKS
State AK
Zip Code 99709-3687

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164911905 Sonja A. Stovall Massage Therapist 565 University Ave Ste 1, Fairbanks, AK 99709-3687 2018-05-08
1043706245 Susana Donofry Registered Nurse 565 University Ave Ste 1, Fairbanks, AK 99709 2018-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255946810 Beacon Monitoring Professional Services Technician, Other 745 Staffordshire Rd, Fairbanks, AK 99709 2020-09-10
1235629544 Fairbanks Healing Space Health Educator 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 2018-05-11
1609395409 Shawn K Goggins Counselor 1423 Peger Road, Fairbanks, AK 99709 2017-09-12
1710433347 Jay Titus Technician/Technologist 2884 Marina Drive, Fairbanks, AK 99709 2016-09-01
1710391610 Hannah Summerfelt Dentist 3539 Thomas St, Fairbanks, AK 99709 2014-06-18
1629407325 Diane Louise Mitchell Nurse Practitioner 4650 Harvard Cir, Fairbanks, AK 99709 2013-11-04
1407147929 Christina Martz Counselor 1270 Summet Drive, Fairbanks, AK 99709 2011-05-02
1255652285 Surgery Center of Fairbanks LLC Clinic/Center 2310 Peger Road, Fairbanks, AK 99709 2010-06-14
1962661835 John Leo Hughes Jr Jr. Dentist 3437 Airport Way, Suite 205, Fairbanks, AL 99709 2008-06-05
1508042417 Katherine E Johnson, Md PC Ophthalmology 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 2008-01-10
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376981696 North Wind Behavioral Health Nurse Practitioner 1867 Airport Way, Suite 215, Fairbanks, AK 99701-4054 2013-06-08
1760675953 Linda Laverne Keddington Nurse Practitioner 315 5th Ave, Fairbanks, AK 99701-5025 2007-08-22
1447219076 Cathy Jean Johnson Nurse Practitioner 1867 Airport Way, Suite 215, Fairbanks, AK 99701-4062 2006-03-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366062903 Eagle River Behavioral Health, LLC Nurse Practitioner 13125 Curry Ridge Cir, Eagle River, AK 99577-6730 2020-04-23
1760017123 Sara Rottman Nurse Practitioner 2210 Sentry Dr Apt 14, Anchorage, AK 99507-5353 2020-03-05
1104464460 David Ampong Nurse Practitioner 1577 C St Ste 204, Anchorage, AK 99501-5164 2019-12-18
1316597412 Jennifer Byers Anp LLC Nurse Practitioner 1689 S Knik Goose Bay Rd Ste 700, Wasilla, AK 99654-8088 2019-09-19
1538720404 Deanna Mae Casiano Nurse Practitioner 14460 E Pace Dr, Palmer, AK 99645-9964 2019-06-21
1154897429 Kristerra Nicole Yawea Nurse Practitioner 2440 E Tudor Rd # 384, Anchorage, AK 99507-1185 2018-10-15
1982187399 Sara A Lindsoe Nurse Practitioner 8136 White Dr, Anchorage, AK 99507-6046 2018-09-11
1245753656 Richard Crisostomo Nurse Practitioner 3505 E Meridian Park Loop Ste 200, Wasilla, AK 99654-7242 2017-07-18
1609326594 Virginia Walker Nurse Practitioner 3211 Providence Drive Rh Ste 116, University of Alaska Anchorage Student Health & Councel, Anchorage, AK 99508 2016-10-04
1922553726 Adriana Maria Hernandez Nurse Practitioner 2405 S Knik Goose Bay Rd, Ste A, Wasilla, AK 99654-9965 2016-08-22
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Competitor

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City FAIRBANKS
Zip Code 99709

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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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