THERESA KOUADIO CMN
NPI 1720034556
Nurse Practitioner in Fairbanks, AK

Q: What is Theresa Kouadio's NPI number?

The NPI number for Theresa Kouadio is 1720034556. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Theresa Coley-Kouadio Cnm.

Q: What is Theresa Kouadio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Kouadio was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2006

1717 W COWLES ST, FAIRBANKS, AK 99701(907) 451-6682 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2021, Sep 13, 2019, Nov 11, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Theresa Kouadio Cmn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA KOUADIO CMN (NPI 1720034556) is an individual nurse practitioner in Fairbanks, Alaska, licensed in Alaska (139327) and active in the NPI registry since May 2006. She maintains a secondary practice location in Kotzebue.

NPPES Registry Identity

NPI1720034556

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA KOUADIOCredential: CMN

Location Address1717 W COWLES STFairbanks, AK 99701-5926

Mailing Address1717 W Cowles StFairbanks, AK 99701-5926 · (907) 451-6682

Phone(907) 451-6682

Sole ProprietorNo

Enumeration DateMay 25, 2006

Last NPPES UpdateApril 15, 20214 updates tracked since enumeration

NPPES CertifiedApril 15, 2021

✔ NPI 1720034556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AK · 139327

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1717 W COWLES ST, Fairbanks, AK 99701

Open in Google Maps ↗

Other Names 1

Former Name (1)Theresa Coley-kouadio Cnm

Secondary Practice Location 1

Location 1436 5th AveKotzebue, AK 99752 · Phone (907) 442-7384 · Fax (907) 442-7306

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE BURTNESS

Dietitian, Registered