SHANE BALL (NPI# 1922146307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922146307 |
| Entity Type | Individual |
| Full Name | SHANE BALL |
| Credential | MHS |
| Practice Address |
3760 Piper Street Suite Ll139 Anchorage AK 99508 |
| Mailing Address |
Po Box 196276 Anchorage AK 99519-6276 |
| Practice Telephone | 9072126233 |
| Practice Fax Number | 9075633217 |
| Mailing Telephone | 9072126233 |
| Mailing Fax Number | 9075633217 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437715034 | Shane Ball | Occupational Therapy Assistant | 190 Bangor Rd, Ellsworth, ME 04605-3258 | 2019-05-20 |
| 1679500557 | Shane K Ball | Radiology | 190 E Bannock St, Boise, ID 83712-6241 | 2006-06-27 |
| Street Address |
3760 PIPER STREET SUITE LL139 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134272008 | Mary N. Mcnurlen | Registered Nurse | 3760 Piper Street, Suite Ll139, Anchorage, AK 99508 | 2007-01-22 |
| 1306968433 | Angela R. Cupples | Specialist | 3760 Piper Street, Suite Ll139, Anchorage, AK 99504 | 2007-04-06 |
| 1255466645 | Jan Russell | Specialist | 3760 Piper Street, Suite Ll139, Anchorage, AK 99504-7459 | 2007-02-23 |
| 1184766057 | Annabel K. Moreno | Registered Nurse | 3760 Piper Street, Suite Ll139, Anchorage, AK 99504-7459 | 2007-02-13 |
| 1780726919 | Kathleen Taylor | Registered Nurse | 3760 Piper Street, Suite Ll139, Anchorage, AK 99504-7459 | 2007-02-13 |
| 1972645109 | Judy Engh | Registered Nurse | 3760 Piper Street, Suite Ll139, Anchorage, AK 99504-7459 | 2007-02-13 |
| 1326189150 | Florence Costello | Registered Nurse | 3760 Piper Street, Suite Ll139, Anchorage, AK 99504 | 2007-02-12 |
| 1336289321 | Susan Oliver | Nurse Practitioner | 3760 Piper Street, Suite 1087, Anchorage, AK 99504 | 2007-02-07 |
| 1184760316 | Jaimie Roberts | Specialist | 3760 Piper Street, Suite Ll139, Anchorage, AK 99508 | 2007-01-29 |
| 1376698019 | Stephanie Tasker | Specialist | 3760 Piper Street, Suite Ll139, Anchorage, AK 99508 | 2007-01-24 |
| 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 | 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 |
|---|---|---|---|---|
| 1144790742 | Danielle M Hall | Specialist | 2925 Debarr Rd Ste 399, Anchorage, AK 99508-2966 | 2018-11-27 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1982145637 | The Oriental Healing Arts Center LLC | Specialist | 2636 Spenard Rd, Anchorage, AK 99503-2336 | 2017-03-14 |
| 1720522410 | Rebecca Carter | Specialist | 5013 Marlowe Ave, A, Anchorage, AK 99508-3738 | 2016-12-14 |
| 1770035883 | Anne Honer | Specialist | 8641 Brookway Cir, Anchorage, AK 99504-4274 | 2016-10-25 |
| 1548711005 | Gordon Jay Wallis | Specialist | 142 W 5th Ave, Anchorage, AK 99501-2522 | 2016-10-19 |
| 1902258593 | Deborah Lucille Ballard | Specialist | 14225 Hancock Dr, Anchorage, AK 99515-3961 | 2016-07-07 |
| 1285086926 | Donna Jefferson | Specialist | 1000 Omalley Rd Ste 102, Anchorage, AK 99515-3083 | 2016-07-06 |
| 1558712653 | Michele Aitken | Specialist | 4850 Lake Otis Pkwy, 3333denali St. Suite 150, Anchorage, AK 99507-1419 | 2016-06-29 |
| 1962853580 | Brenda Marie Beck | Specialist | 8601 Brookway Cir, Anchorage, AK 99504-4274 | 2016-06-24 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on SHANE BALL.
| 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.