Tatiana Antionette Barraclough

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

1000 Polovenia Turnpike Road
St. Paul, AK 99660

Phone

(907) 546-8300

Fax

(907) 546-8372

NPI assigned

Sep 14, 2010

Sex

Female

Sole proprietor

Yes

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": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1740598630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E INTERNATIONAL AIRPORT RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181408",
            "telephone_number": "907-276-2700",
            "fax_number": "907-222-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLOVENIA TURNPIKE ROAD",
            "city": "ST. PAUL",
            "state": "AK",
            "postal_code": "99660",
            "telephone_number": "907-546-8300",
            "fax_number": "907-546-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRACLOUGH",
        "first_name": "TATIANA",
        "middle_name": "ANTIONETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Binni Caresse Bourdukofsky
• Monique Haretina Lestenkof
• June McGlashan-Shabolin
• Karen Ann Philemonoff
• Pauline Rukovishnikoff

• Other Technician in St. Paul, AK
• Providers in St. Paul, AK by specialty
• Other Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.