Adrienne Chambers
Individual provider Active NPI Speech-Language Pathologist · Kodiak, AK
NPI 1295036051 · NPPES record last updated Apr 14, 2022
Key facts
- NPI
- 1295036051
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 178887 (AK)
- Practice address
- 3449 E Rezanof Dr
Kodiak, AK 99615-6952 - Phone
- (907) 486-9870
- NPI assigned
- Nov 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178887 | AK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kodiak Cubs Speech | Speech-Language Pathologist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 178887 | AK | Yes |
Addresses
Primary practice location
3449 E Rezanof Dr
Kodiak, AK 99615-6952
Mailing address
3449 E Rezanof Dr
Kodiak, AK 99615-6952
Phone (907) 486-9800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMG675 | Medicaid | AK |
Other providers in Kodiak, AK
- Kristy A Campbell
- Carrie Randolph D.D.S. Inc.
- Scott Allen Carver
- John Franklin Caudill, II
- Paul Anthony Cavalier
- Belinda K Chambers
- Kailee Champion
- Nyia Asia Charest
- Sam J Chelmo
- Christie Ann Chernoff
All providers in Kodiak, AK · Speech-Language Pathologist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.