Katie Jo Rood, | |
575 Riverstone Way Ste C, Fairbanks, AK 99709-2939 | |
(907) 450-3330 | |
Not Available |
Full Name | Katie Jo Rood |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 575 Riverstone Way Ste C, Fairbanks, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215690623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | NURR37093 (Alaska) | Secondary |
363LF0000X | Nurse Practitioner - Family | 186381 (Alaska) | Primary |
Entity Name | Cleanslate Medical Group Of Indiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
Mailing Address | Practice Location Address |
---|---|
Katie Jo Rood, 575 Riverstone Way Ste C, Fairbanks, AK 99709-2939 Ph: (907) 450-3330 | Katie Jo Rood, 575 Riverstone Way Ste C, Fairbanks, AK 99709-2939 Ph: (907) 450-3330 |
Mrs. Kelly Kay Binkowski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1626 30th Ave, Fairbanks, AK 99701 Phone: 907-479-7701 | |
Ms. Krista Marie Johnson, CNM, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2054 30th Ave, Fairbanks, AK 99701 Phone: 907-456-3719 Fax: 907-456-1511 | |
Janice L Stables, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Airport Way, Ste 110b, Fairbanks, AK 99701 Phone: 907-452-6330 Fax: 907-452-6335 | |
Anne Marie Lilley, RN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1275 Sadler Way, #101, Fairbanks, AK 99701 Phone: 907-361-6370 Fax: 907-361-6372 | |
Susana Donofry, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 565 University Ave Ste 1, Fairbanks, AK 99709 Phone: 215-704-1238 | |
Alyce Lynne Weckwerth, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-6251 Fax: 907-451-6251 | |
Mrs. Shannon Kay Rhoton, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1919 Lathrop St, Suite 217, Fairbanks, AK 99701 Phone: 907-456-8191 Fax: 907-456-8192 |