| Keriann Shine, RD | |
|
4320 Diplomacy Dr, Anchorage, AK 99508-5925 | |
| (907) 729-8901 | |
| (907) 729-8607 |
| Full Name | Keriann Shine |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 4320 Diplomacy Dr, Anchorage, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841911724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 199493 (Alaska) | Primary |
| Provider Name | Alaska Native Tribal Health Consortium |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Provider Name | Southcentral Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Keriann Shine, RD 7033 E Tudor Rd, Anchorage, AK 99507-1262 Ph: (907) 729-8901 | Keriann Shine, RD 4320 Diplomacy Dr, Anchorage, AK 99508-5925 Ph: (907) 729-8901 |
Marilyn Cunningham, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3200 Providence Dr, E Tower, Suite 3030, Anchorage, AK 99508 Phone: 907-212-7980 Fax: 907-212-7981 | |
Olivia Britton, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3340 Providence Dr Ste A453, Anchorage, AK 99508 Phone: 907-212-7982 Fax: 907-212-7981 | |
Grace Kathleen Champion, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-729-2677 | |
Heather Poe, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5301 Little Tree St, Anchorage, AK 99507 Phone: 907-223-5500 | |
Sally L. Coburn, NP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3300 Arctic Blvd, Ste 101, Anchorage, AK 99503 Phone: 907-561-3488 Fax: 907-562-3488 | |
Sabrina Kay Cabana, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7900 Evander Dr, Anchorage, AK 99518 Phone: 907-229-3395 | |
Jeremiah Lee Britton, MS RD CDCES BC-ADM Dietitian Medicare: Medicare Enrolled Practice Location: 1200 Airport Heights Dr Ste 200, Anchorage, AK 99508 Phone: 907-268-5585 Fax: 907-268-5583 |