MRS. LISA C SHINDLER (NPI# 1932486123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932486123 |
| Entity Type | Individual |
| Full Name | MRS. LISA C SHINDLER |
| Credential | PA-C |
| Practice Address |
436 5th Avenue Kotzebue AK 99752 |
| Mailing Address |
Po Box 43 #436 5th Avenue Kotzebue AK 99752-0043 |
| Practice Telephone | 9074427241 |
| Mailing Telephone | 9074427241 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C03703 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
436 5TH AVENUE |
| City | KOTZEBUE |
| State | AK |
| Zip Code | 99752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295795342 | Linda Olson Bergum | Family Medicine | 436 5th Avenue, Kotzebue, AK 99752 | 2006-03-24 |
| 1063011005 | Walter Tanner | Nurse Practitioner | 436 5th Avenue, Kotzebue, AK 99752 | 2020-10-21 |
| 1811490139 | Magdeline L Booth | Prevention Professional | 436 5th Avenue, Kotzebue, AK 99752 | 2018-03-13 |
| 1710490701 | Denzel Mann | Pharmacist | 436 5th Avenue, Maniilaq Health Center, Kotzebue, AK 99752-9975 | 2017-11-13 |
| 1275089997 | Meagan Lincoln | Optometrist | 436 5th Avenue, Kotzebue, AK 99752 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770103731 | Breanna Rosales | Counselor | 433 5 Th Ave, Kotzebue, AK 99752 | 2020-04-20 |
| 1679118814 | Verna Mariam Sherman | Case Manager/Care Coordinator | 733 2nd Ave., Kotzebue, AK 99752 | 2019-11-12 |
| 1568979565 | John Steven Ferraro | Counselor | 733 2'nd Ave, Kotzebue, AK 99752 | 2017-12-29 |
| 1528585494 | Guardian Flight LLC | Ambulance | Teacher Housing Apt # 18 Lagoon Street, Kotzebue, AK 99752 | 2017-08-23 |
| 1366998114 | Alaskans Changing Together, Inc. | Counselor | 241 5th Ave, Kotzebue, AK 99752 | 2016-08-31 |
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1811309040 | Sylvia Michelle Windham | Advanced Practice Midwife | 436 5th Avenue and Ted Stevens Way, Kotzebue, AK 99752 | 2014-05-22 |
| 1881941193 | Belynda M. Gregg | Case Manager/Care Coordinator | 256 2nd Ave, F.r. Ferguson Building, Kotzebue, AK 99752 | 2012-08-07 |
| 1689932436 | Srikanth Rao Dakoji | Family Medicine | 479 Mission St, Apt C8, Kotzebue, AK 99752 | 2012-04-30 |
| 1932434792 | Joseph E Copeland | Family Medicine | Maniilaq Healh Center, Box 43, Kotzebue, AK 99752 | 2009-10-13 |
| Find all providers in zip 99752 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634047 | Chelsie Coffman | Physician Assistant | 7300 Klawock Hollis Hwy A, Klawock, AK 99925 | 2020-03-20 |
| 1912549098 | Craig Michael Brumagin | Physician Assistant | 4961 E Mayflower Ln, Wasilla, AK 99654-7708 | 2019-10-10 |
| 1780184929 | Richard Rodd Wehling | Physician Assistant | 18226 Meadow Creek Dr, Eagle River, AK 99577-8252 | 2018-02-14 |
| 1801314596 | Sara Breann Langford | Physician Assistant | 575 Riverstone Way Unit 1, Fairbanks, AK 99709-2939 | 2017-09-01 |
| 1528503687 | Northwoods Family Medicine, Inc | Physician Assistant | 1301 E. Palmer-wasilla Hwy, #400, Wasilla, AK 99654 | 2016-12-28 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1770977571 | Audrey Christine Kelley | Physician Assistant | 9150 Jewel Lake Rd # B, Anchorage, AK 99502-5381 | 2015-03-19 |
| 1851799027 | Jennifer Anne Fayette | Physician Assistant | 2741 Debarr Rd Ste C302, Anchorage, AK 99508-2972 | 2014-12-19 |
| 1669898474 | Louis Michael Smith | Physician Assistant | 22301 W Alsop Rd, Wasilla, AK 99623-5023 | 2014-03-17 |
| 1033451703 | Allison Cooper | Physician Assistant | 2310 Peger Rd Suite 105, Fairbanks, AK 99709-4848 | 2013-03-20 |
| Find all providers with the same taxonomy | ||||
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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.