Michelle Angela Pagsolingan, CC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

6639 Issued in AK

Practice address

303 Erskine Ave
Kodiak, AK 99615-6341

Phone

(907) 486-2203

Fax

(907) 486-4503

NPI assigned

Jan 26, 2010

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior Citizens of Kodiak, Inc.

  • Alzheimer Center (Dementia Center)
  • Kodiak, AK
  • NPI 1275672370
  NPD (past)

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1194056473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 ERSKINE AVE",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156341",
            "telephone_number": "907-486-2203",
            "fax_number": "907-486-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ERSKINE AVE",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156341",
            "telephone_number": "907-486-2203",
            "fax_number": "907-486-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGSOLINGAN",
        "first_name": "MICHELLE",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "6639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon O'Neal
• Amy G. Ogrinc, DENTAL ASSISTANT
• Elaine Loomis Olsen, LMSW
• Orthoalaska, LLC (Orthopedic Physicians Alaska)
• Pacific Northwest Radiology
• Brian Michael Painter
• Cynthia M Parent
• Gregory William Parker, CT
• Heather Parker, DO
• Shelley Ford Paulson, RPH

• Licensed Practical Nurse in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Licensed Practical Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.