LAURIE ELIZABETH FENDERSON (NPI# 1962625921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962625921 |
| Entity Type | Individual |
| Full Name | LAURIE ELIZABETH FENDERSON |
| Credential | CPNP |
| Practice Address |
Alaska Native Medical Center 4315 Diplomacy Drive Anchorage AK 99508 |
| Mailing Address |
8505 Skyhills Dr Anchorage AK 99502-3993 |
| Practice Telephone | 9077291070 |
| Mailing Telephone | 5128000391 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 0050-00974 | NC | Allopathic & Osteopathic Physicians |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
681462 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 287667401 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3209 Tarryhollow Dr, Austin, TX 787031638 | 5124537436 |
| Street Address |
ALASKA NATIVE MEDICAL CENTER 4315 DIPLOMACY DRIVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343153 | Anjali Dhir Madeira | Advanced Practice Midwife | Alaska Native Medical Center, 4315 Diplomacy Drive, Anchorage, AK 99508 | 2018-07-26 |
| 1699137265 | Rebecca Touger | Internal Medicine | Alaska Native Medical Center, 4315 Diplomacy Dr., Anchorage, AK 99508 | 2016-03-23 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912288770 | Pnps of Alaska, Randy Twenhafel PC | Nurse Practitioner | 5139 Wood Hall Dr, Anchorage, AK 99516-7536 | 2011-09-06 |
| 1548376775 | Christine Ersland | Nurse Practitioner | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2006-08-21 |
| 1548815459 | Danielle Lisse | Nurse Practitioner | 2741 Debarr Rd Ste C308, Anchorage, AK 99508-2972 | 2019-08-07 |
| 1316501802 | Nicole Lynn Marnell | Nurse Practitioner | 4600 Abbott Rd, Anchorage, AK 99507-4314 | 2019-04-30 |
| 1417465279 | Emily Therese Skrocki | Nurse Practitioner | 4501 Diplomacy Dr, Anchorage, AK 99508-5919 | 2018-01-15 |
| 1356727366 | Chantal Sue Hawk | Nurse Practitioner | 4951 Business Park Blvd, Anchorage, AK 99503-7174 | 2015-08-03 |
| 1215292909 | Ashley L Voigt | Nurse Practitioner | 4501 Diplomacy Dr, Anchorage, AK 99508-5919 | 2012-07-09 |
| 1114217353 | Ronda Renea Nakoa | Nurse Practitioner | 3851 Piper St, Suite U-1401, Anchorage, AK 99508-4684 | 2011-04-08 |
| 1073847943 | Cynthia Ebelacker, Anp | Nurse Practitioner | 1407 W 31st Ave, Ste 201, Anchorage, AK 99503-3678 | 2009-09-25 |
| 1407069388 | Juanita Luna-greene | Nurse Practitioner | 4320 Diplomacy Dr Ste 2300, Anchorage, AK 99508-5925 | 2007-05-08 |
| Find all providers in ANCHORAGE | ||||
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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.