ZAN MICHAEL WHITMAN (NPI# 1902292386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902292386 |
Entity Type | Individual |
Full Name | ZAN MICHAEL WHITMAN |
Credential | ARNP |
Practice Address |
2250 S Woodworth Loop Suite 202 Palmer AK 99645-7457 |
Mailing Address |
Po Box 4105 Portland OR 97208-4105 |
Practice Telephone | 9077615800 |
Practice Fax Number | 9077615801 |
Mailing Telephone | 8669071068 |
Mailing Fax Number | 4259179141 |
Enumeration Date | 2015-04-12 |
Last Update Date | 2015-08-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
102761 | AK | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2250 S WOODWORTH LOOP SUITE 202 |
City | PALMER |
State | AK |
Zip Code | 99645-7457 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467478164 | Ellen J Halverson | Psychiatry & Neurology | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7412 | 2006-07-14 |
1679925325 | Katherine Paulick | Psychologist | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2016-07-06 |
1811316987 | Jennifer Byers | Nurse Practitioner | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2014-04-15 |
1841613072 | Sara J. Larson Braun | Counselor | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7412 | 2014-01-23 |
1487099487 | Amanda Leigh Wolfe | Counselor | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2013-05-03 |
1356695316 | Ryan Franklin Conley | Registered Nurse | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7412 | 2012-10-30 |
1447557665 | Justin Shipowick | Social Worker | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2011-02-24 |
1386810844 | Janet L Bogard | Social Worker | 2250 S Woodworth Loop, Palmer, AK 99645-7457 | 2008-05-05 |
1144439639 | Jeffrey James Copeland | Family Medicine | 2250 S Woodworth Loop, Suite 101, Palmer, AK 99645-7412 | 2007-05-21 |
1104844075 | Jeffrey J Grasser | Counselor | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2006-07-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
Find all providers in zip 99645 |
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 |
---|---|---|---|---|
1538720404 | Deanna Mae Casiano | Nurse Practitioner | 14460 E Pace Dr, Palmer, AK 99645-9964 | 2019-06-21 |
1700345717 | Kristen Rose Briody | Nurse Practitioner | 42 Wright Street, Palmer, MA 01069-1156 | 2019-03-19 |
1255724308 | James Edward Bernhard | Nurse Practitioner | 42 Wright St, Palmer, MA 01069-1156 | 2015-03-13 |
1851784193 | Roma Y Estevez | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2015-03-11 |
1811316987 | Jennifer Byers | Nurse Practitioner | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2014-04-15 |
1548515711 | Judith Jorge-leonard | Nurse Practitioner | 42 Wright St, Palmer, MA 01069-1156 | 2012-07-13 |
1508059163 | Helen M Duda | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2007-08-27 |
1548395015 | Susan Williams | Nurse Practitioner | 42 Wright St, Palmer, MA 01069-1156 | 2007-02-23 |
1285769919 | Kathleen Marie Megha Hammaker | Nurse Practitioner | 425 E Dahlia Ave, Ste Mb, Palmer, AK 99645-6414 | 2007-02-22 |
1881612752 | Gabriele M Gerteisen | Nurse Practitioner | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7412 | 2006-07-18 |
Find all providers in PALMER |
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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.