Provider Type Icon

NADINE ROSE CAPTAIN NPI 1376815316


NPI Information

NPI: 1376815316
Provider Name: NADINE ROSE CAPTAIN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
110 2ND AVE
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-7946
Get Directions

Nadine Rose Captain is a mental health counselor in Fairbanks, AK. Nadine Rose Captain NPI is 1376815316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

110 2ND AVE
FAIRBANKS, AK
ZIP 99701-809
Phone: (907) 452-7946
Fax: (907) 452-7942

The enumeration date for this NPI number is 2/7/2012 and was last updated on 2/20/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MH0157MEDICAIDALASKA
2K0000WCHCPMEDICARE PINALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.