Rita Eaglehead, B.ED.

Primary specialty

School CounselorTaxonomy code 101YS0200X

Practice address

2550 Lawlor Rd
Fairbanks, AK 99709-6458

Phone

(907) 455-4725

Fax

(907) 455-4730

NPI assigned

Jul 12, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1104478874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81754",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997081754",
            "telephone_number": "907-455-4725",
            "fax_number": "907-455-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 LAWLOR RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997096458",
            "telephone_number": "907-455-4725",
            "fax_number": "907-455-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLEHEAD",
        "first_name": "RITA",
        "credential": "B.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• School Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.