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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Awaken Joy LLC | 2005 South Garfield Ave, Loveland, CO 80537 |
Street Address |
565 UNIVERSITY AVE STE 1 |
City | FAIRBANKS |
State | AK |
Zip Code | 99709-3687 |
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 |
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 |
Find all providers in zip 99709 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
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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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.