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Deactivated NPI 1285892737 Deactivated / Inactive NPI Male Practitioner

John C Pearson , RN

General Practice • Kodiak, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Pearson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2008
NPI Deactivation Date August 09, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

John Pearson, RN was a registered General Practice practicing in Kodiak, AK. Throughout an active medical career spanning 9 years, John Pearson provided care at the practice location at 3449 E REZANOF DR until profile deactivation on 2017-08-09.

Practice Location & Contact Primary Location

Practice Address

3449 E Rezanof Dr

Kodiak, AK 996156952

Telephone 9074869870
Fax 9074869898
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Kodiak, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Kodiak, AK (51 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AK 21449

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Phillip Jordinelli , CDCS, NCACI, SAP

Counselor - Addiction (Substance Use Disorder)

NPI 1144669466
NPI 1164713152

BHAI

Diane Wolkoff

General Practice

NPI 1215196423
Kaytlin Rupert , LCSW, CDC I, RPT

Social Worker - Clinical

NPI 1215356928

Licensed Clinical Social Worker, CDCI, Registered Physical Therapist

Crystaleigh Peacor

Counselor - Addiction (Substance Use Disorder)

NPI 1235679473
NPI 1275792913

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 09, 2017

Record deactivated on August 09, 2017

NPI Profile Active May 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 30, 2008

Registered at 3449 E REZANOF DR, KODIAK, AK 996156952 (Tel: 9074869870)

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Updated Business Mailing Address May 30, 2008

Registered at 3449 E REZANOF DR, KODIAK, AK 996156952 (Tel: 9074869870)

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Provider Name / Credentials Updated May 30, 2008

Recorded as JOHN PEARSON, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2008

General Practice (License #21449 in AK)

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Initial NPI Registration & Enumeration May 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285892737
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2008
Last Update: May 30, 2008
Deactivation Date: August 09, 2017

Mailing Address

3449 E Rezanof Dr

Kodiak, AK 996156952

Phone: 9074869870

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.